Individual provider Active NPI

Katherine Brawner Williamson, PA-C

  • Physician Assistant
  • Midland, TX
National Provider Identifier
1043673460
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10383 Issued in TX
Practice address
5117 Sunmore Cir
Midland, TX 79707-5124
Phone
(432) 689-2512
Fax
(432) 689-2108
NPI assigned
Apr 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10383 TX Primary

Addresses

Primary practice location

5117 Sunmore Cir
Midland, TX 79707-5124

Mailing address

5117 Sunmore Cir
Midland, TX 79707-5124
Phone (432) 689-2512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170425003028 TX Practitioner - Physician Assistant 1951688175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akin Chandler MD PLLCGroup PAC ID 3779838180, 6 clinicians

Practice addresses (Care Compare)

5117 Sunmore Cir
Midland, TX 79707-5124
Phone (432) 689-2512

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10383TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nigro Dermatology Group, PA PastSince Mar 20, 2001 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1043673460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 SUNMORE CIR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075124",
            "telephone_number": "432-689-2512",
            "fax_number": "432-689-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 SUNMORE CIR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075124",
            "telephone_number": "432-689-2512",
            "fax_number": "432-689-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KATHERINE",
        "middle_name": "BRAWNER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.