SHANA DANIELLE WILLIAMS – Family Medicine Physician, NPI 1942887666

SHANA DANIELLE WILLIAMS is a healthcare provider. based in Wellington, Ohio. specializing in FAMILY PRACTICE. They hold a License No. 35.149849 (OH). The NPI Number for SHANA DANIELLE WILLIAMS is 1942887666

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SHANA DANIELLE WILLIAMS
NPI
1942887666
Phone
(440) 647-2225
Address
840 PATRIOT DR
Enumeration Date
27 March 2021
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4406472225
Graduation Year
2021 (5 years ago)
PAC ID
9638575913
Group Practice PAC ID
5092802389
Professional Enrollment ID
I20240807003219
Address ID
OH440908948WE840XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,432 FAMILY PRACTICE in OH

Provider Addresses for SHANA DANIELLE WILLIAMS

  • 840 PATRIOT DR

    WELLINGTON, OH 440908948

    Phone: (440) 647-2225

    Fax: (440) 647-5110

    Type: Mailing

  • 525 E MARKET ST

    AKRON, OH 443041619

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240807003219IFamily PracticeOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44090)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092802389View full group profile

Reviews

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Frequently asked questions

What is the standard ID for SHANA DANIELLE WILLIAMS in the U.S.?
In the U.S., SHANA DANIELLE WILLIAMS is identified by NPI 1942887666.
Should I treat SHANA DANIELLE WILLIAMS as an active provider?
Patients and plans typically see SHANA DANIELLE WILLIAMS as active in the national extract.
How should patients interpret SHANA DANIELLE WILLIAMS's specialty?
The extract shows Family Medicine Physician for SHANA DANIELLE WILLIAMS. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHANA DANIELLE WILLIAMS?
SHANA DANIELLE WILLIAMS is associated with Wellington, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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