JACKIE RAE WILLIAMS (NP-C) – Nurse Practitioner, NPI 1194234146
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for JACKIE RAE WILLIAMS (NP-C)
2214 WESTWIND DR
SANDUSKY, OH 448707010
Phone: (419) 706-0071
Type: Mailing
Milan Road, Sandusky, Erie County, Ohio, 44870, United States
SANDUSKY, OH 448705846
Phone: (419) 557-5052
Type: Location
5420 Milan Rd
Sandusky, OH 448705846
Phone: (419) 557-5052
Type: Location
703 TYLER ST STE 351
SANDUSKY, OH 448703391
Phone: (419) 621-7620
Fax: (419) 621-7623
Type: Location
Kilbourne Street, Bellevue, Sandusky County, Ohio, 44811, United States
BELLEVUE, OH 448119549
Phone: (419) 706-0071
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $2,771.
Total Amount is formed as General ($2,771) + Research ($0) + Ownership ($0) = $2,771.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($895).
Total Amount
$2,771
General + Research + Ownership
Payments
41
Total payment records
General Amount
$2,771
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $895 |
| ABBVIE INC. | $258 |
| Alexion Pharmaceuticals, Inc. | $199 |
| BIOTISSUE HOLDINGS INC. | $165 |
| GENZYME CORPORATION | $136 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180725003851 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 344 | 289 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 72 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 46 | 46 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 22 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 44870)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | LA | |
| Nurse Practitioner | OH | |
| General Practice | OH | |
| Vascular Surgery | OH | |
| P S Y C H I A T R Y | OH | |
| Internal Medicine | OH | |
| Cardiovascular Disease (Cardiology) | NV | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| N E U R O S U R G E R Y | MI |
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