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

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.

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 (57 clinicians)

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 IDStateProvider typePAC IDDetails
I20260508001728 MA Practitioner - Nurse Practitioner 0749758613 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2344429MAMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2026.

{
    "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

All providers in Boston, MA · Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.