JANELISA WILLIAMS (PA-C) – Medical Physician Assistant, NPI 1922022847

JANELISA WILLIAMS (PA-C) is a healthcare provider. based in Olympia, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10004721 (WA). The NPI Number for JANELISA WILLIAMS (PA-C) is 1922022847

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JANELISA WILLIAMS (PA-C)
NPI
1922022847
Phone
(360) 413-8250
Address
500 LILLY RD NE STE 204
Enumeration Date
26 July 2006
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604138250
Graduation Year
2004 (22 years ago)
PAC ID
4981661683
Group Practice PAC ID
1759278252
Professional Enrollment ID
I20041214001002
Address ID
WA985065030OL209XXNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for JANELISA WILLIAMS (PA-C)

  • 204, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    OLYMPIA, WA 985065197

    Phone: (360) 413-8250

    Fax: (360) 413-8830

    Type: Location

  • 209 LILLY RD NE

    OLYMPIA, WA 98506

    Phone: (360) 413-8250

    Fax: (360) 413-8830

    Type: Location

  • 209, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    OLYMPIA, WA 98506

    Phone: (360) 413-8250

    Fax: (360) 413-8830

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $198.

Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($94).

Total Amount

$198

General + Research + Ownership

Payments

3

Total payment records

General Amount

$198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2004-12-14

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
I20041214001002IPhysician AssistantWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13699$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5436$0
99203New patient office or other outpatient visit, 30-44 minutes3030$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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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: 1759278252View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YWA
Nurse PractitionerWA
Nurse PractitionerWA
G A S T R O E N T E R O L O G YWA
G A S T R O E N T E R O L O G YWA
Nurse PractitionerWA
G A S T R O E N T E R O L O G YWA
G A S T R O E N T E R O L O G YWA
Physician AssistantWA
Gastroenterology, Internal MedicineWA

Reviews

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Frequently asked questions

What unique ID ties claims to JANELISA WILLIAMS (PA-C)?
NPI 1922022847 is assigned to JANELISA WILLIAMS (PA-C) under the national enumeration system.
Is JANELISA WILLIAMS (PA-C)'s NPI currently valid?
The extract we use shows JANELISA WILLIAMS (PA-C) as active.
What does JANELISA WILLIAMS (PA-C) treat or focus on?
Patients typically see JANELISA WILLIAMS (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JANELISA WILLIAMS (PA-C) practice in Washington?
You will see Olympia, Washington on file for JANELISA WILLIAMS (PA-C) alongside any extra practice locations.
Is JANELISA WILLIAMS (PA-C) a real provider?
This page reflects official NPPES data for NPI 1922022847. Always confirm identity and privileges with the practice and licensing boards.

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