MARY KATHERINE WILLIAMS (CNM) – Advanced Practice Midwife, NPI 1093091175

MARY KATHERINE WILLIAMS (CNM) is a healthcare provider. based in Suffolk, Virginia. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 0001174791 (VA). The NPI Number for MARY KATHERINE WILLIAMS (CNM) is 1093091175

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MARY KATHERINE WILLIAMS (CNM)
NPI
1093091175
Phone
(757) 539-3911
Address
2790 GODWIN BLVD
Enumeration Date
2 November 2011
Last Update Date
7 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7572906190
Graduation Year
2011 (15 years ago)
PAC ID
1658516885
Group Practice PAC ID
8820998156
Professional Enrollment ID
I20130318000259
Address ID
VA234347181SU2050XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

194 CERTIFIED NURSE MIDWIFE (CNM) in VA

Provider Addresses for MARY KATHERINE WILLIAMS (CNM)

  • 2790 GODWIN BLVD

    SUITE 360

    SUFFOLK, VA 234348151

    Phone: (757) 539-3911

    Fax: (757) 925-0615

    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 30 Open Payments records for all available years, with a total value of $727.

Total Amount is formed as General ($727) + Research ($0) + Ownership ($0) = $727.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($153).

Total Amount

$727

General + Research + Ownership

Payments

30

Total payment records

General Amount

$727

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2013-03-18

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
I20130318000259ICertified Nurse Midwife (Cnm)VATBD

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 23434)

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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: 8820998156View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YVA
Clinical Social WorkerVA
-VA
-VA
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YVA
-VA
Nurse PractitionerVA
-VA
-VA

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Frequently asked questions

What NPI should I save for MARY KATHERINE WILLIAMS (CNM)?
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Is MARY KATHERINE WILLIAMS (CNM) currently active in the NPI registry?
CMS-published data lists MARY KATHERINE WILLIAMS (CNM) as an active registrant.
Does MARY KATHERINE WILLIAMS (CNM) list a primary specialty?
If you are matching referrals, note Advanced Practice Midwife for MARY KATHERINE WILLIAMS (CNM). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY KATHERINE WILLIAMS (CNM)?
The page summarizes Suffolk, Virginia for MARY KATHERINE WILLIAMS (CNM); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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