SAMARA MCWILLIAMS – Nurse Practitioner, NPI 1053868661

SAMARA MCWILLIAMS is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP132352 (TX). The NPI Number for SAMARA MCWILLIAMS is 1053868661

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SAMARA MCWILLIAMS
NPI
1053868661
Phone
(512) 482-0045
Address
7000 NORTH MOPAC
Enumeration Date
1 September 2016
Last Update Date
24 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
2016 (10 years ago)
PAC ID
7719267475
Group Practice PAC ID
6507173291
Professional Enrollment ID
I20161215000633
Address ID
TX787381744AU2802XTRCE301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SAMARA MCWILLIAMS

  • 7000 NORTH MOPAC

    SUITE 420

    AUSTIN, TX 78731

    Phone: (512) 482-0045

    Fax: (512) 476-9892

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: ShockWave Medical, Inc ($159).

Total Amount

$405

General + Research + Ownership

Payments

5

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-15

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
I20161215000633INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes255185$0
99213Established patient office or other outpatient visit, 20-29 minutes4541$0
View full utilization report →

Insurance plans in this area (ZIP 78731)

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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: 6507173291View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeAZ
Nurse PractitionerTX
Certified Clinical Nurse Specialist (Cns)TX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerKS
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is SAMARA MCWILLIAMS identified in CMS data?
CMS-hosted NPPES data lists SAMARA MCWILLIAMS with NPI 1053868661.
Can I rely on SAMARA MCWILLIAMS being an active provider?
As of the registry snapshot, SAMARA MCWILLIAMS is marked active.
What is SAMARA MCWILLIAMS's specialty?
The listing groups SAMARA MCWILLIAMS with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect SAMARA MCWILLIAMS on a map?
Expect Austin, Texas as a primary anchor for SAMARA MCWILLIAMS unless the record lists multiple sites.
Why does SAMARA MCWILLIAMS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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