Patricia Williams
Individual provider Active NPI Nurse Practitioner · Boston, MA
NPI 1053273243 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1053273243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2344429 (MA)
- Practice address
- 409 W Broadway
Boston, MA 02127-2245 - Phone
- (617) 269-7500
- NPI assigned
- Nov 26, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Boston Community Health Center
Practice addresses (Care Compare)
409 W Broadway
South Boston, MA 02127-2245
Phone (617) 269-7500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260508001728 | MA | Practitioner - Nurse Practitioner | 0749758613 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2344429 | MA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2344429 | MA | Yes |
Addresses
Primary practice location
409 W Broadway
Boston, MA 02127-2245
Mailing address
409 W Broadway
Boston, MA 02127-2245
NPI Registry JSON
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1053273243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 W BROADWAY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021272245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W BROADWAY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021272245",
"telephone_number": "617-269-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-26",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "2344429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
- Michael Yorke Williams
- Michelle Cordella Williams
- Nina Ruth Williams
- Olivia Williams
- Pamela W Williams
- Patricia Ann Williams
- Patricia Ann Williams
- Ramone F Williams
- Ryan J Williams
- Sarah Williams
All providers in Boston, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.