Individual provider Active NPI

Marcia Williams, APRN

  • Family Nurse Practitioner
  • Starke, FL
National Provider Identifier
1063153880
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016185 Issued in FL
Practice address
345 W Madison St
Starke, FL 32091-3923
Phone
(904) 964-5455
Fax
(904) 964-4099
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11016185 FL Primary

Addresses

Primary practice location

345 W Madison St
Starke, FL 32091-3923

Mailing address

240 SE Sandia Way
Lake City, FL 32025-3947
Phone (352) 817-0628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241028000211 FL Practitioner - Nurse Practitioner 9436682655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starke Family Medical Center IncGroup PAC ID 0143207704, 13 clinicians

Practice addresses (Care Compare)

345 W Madison St
Starke, FL 32091-3923
Phone (904) 964-5455

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starke Family Medical Center Inc CurrentSince Nov 11, 2024 Accepting new patients
Physician Services Group of Florida, LLC CurrentSince Aug 25, 2025 Accepting new patients
Psgfl MSSP, LLC PastSince Jul 28, 2025 Accepting new patients

Locations

100 S Lawrence Blvd
Keystone Hgts, FL 32656
Phone (352) 473-9373

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

345 W Madison St
Starke, FL 32091
Phone (904) 964-5455

Interoperability endpoints

  • Direct secure messaging: marcia.williams.1@16275.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1063153880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SE SANDIA WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320253947",
            "telephone_number": "352-817-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W MADISON ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913923",
            "telephone_number": "904-964-5455",
            "fax_number": "904-964-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARCIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

Verify at the official NPI Registry.