Individual provider Active NPI

Jessica McWilliams, FNP-C

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1003549544
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021413 Issued in CA
Practice address
5101 Commerce Dr Ste 101
Bakersfield, CA 93309-0412
Phone
(661) 327-3756
Fax
(661) 327-2332
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95021413 CA Primary

Addresses

Primary practice location

5101 Commerce Dr Ste 101
Bakersfield, CA 93309-0412

Mailing address

2112 Autumn Rose CT
Bakersfield, CA 93312-3500
Phone (661) 330-9681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905001378 CA Practitioner - Nurse Practitioner 9638532914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Aesthetics and Dermatology IncGroup PAC ID 0547622649, 4 clinicians

Practice addresses (Care Compare)

3409 Calloway Dr
Unit 602
Bakersfield, CA 93312-2534
Phone (661) 218-9923

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021413CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Aesthetics & Dermatology Inc CurrentSince Jun 9, 2023 Accepting new patients

Locations

3409 Calloway Dr
Ste 602
Bakersfield, CA 93312
Phone (661) 218-9923

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDDD/Endpoint/BFCDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HICADD/Endpoint/HICADD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1003549544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 AUTUMN ROSE CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933123500",
            "telephone_number": "661-330-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 COMMERCE DR STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090412",
            "telephone_number": "661-327-3756",
            "fax_number": "661-327-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.