Individual provider Active NPI

Jessica Rose Williams, PA-C

  • Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1083123558
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110666 Issued in FL
Practice address
16215 S Jog Rd Ste 100
Delray Beach, FL 33446-2387
Phone
(561) 303-0013
Fax
(561) 499-3199
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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 PA9110666 FL Primary

Addresses

Primary practice location

16215 S Jog Rd Ste 100
Delray Beach, FL 33446-2387

Mailing address

PO Box 20800
Belfast, ME 04915-4105
Phone (888) 402-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, IL, IN, VA, MD, CT, NY, NJ, DE, AL11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20171226001563 FL Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20210910001455 MI Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20210921003231 IL Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20220202002028 IN Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20230915002436 VA Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20230922001875 MD Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20231109003149 CT Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20240502000473 NY Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20240606001450 NJ Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20250122001690 DE Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization
I20250212003868 AL Practitioner - Physician Assistant 4688932593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1411 N Flagler Dr
Suite 8000
West Palm Beach, FL 33401-3413
Phone (561) 650-6231

1600 Crain Hwy S
Suite 408
Glen Burnie, MD 21061-6437
Phone (855) 830-8346

16215 S Jog Rd
Delray Beach, FL 33446-2387
Phone (561) 303-0013

16215 S Jog Rd
Suite 204
Delray Beach, FL 33446-2386
Phone (561) 448-3848

3810 W Centre Ave a
Portage, MI 49024-4632
Phone (855) 830-8346

837 Seminole Rd
Suite 204
Norton Shores, MI 49441-6734
Phone (855) 830-8346

8860 Columbia 100 Pkwy
Suite 400
Columbia, MD 21045-2384
Phone (855) 830-8346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028294NYMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration MD LLC Vascular Surgery CurrentSince Aug 14, 2023 Accepting new patients
Center for Vein Restoration CT LLC Vascular Surgery CurrentSince Oct 3, 2023 Accepting new patients
Center for Vein Restoration Il LLC CurrentSince Aug 7, 2023 Accepting new patients
Center for Vein Restoration Al LLC CurrentSince Jan 2, 2025 Accepting new patients
Center for Vein Restoration CT LLC CurrentSince Oct 3, 2023 Accepting new patients
Center for Vein Restoration in, LLC CurrentSince Apr 17, 2024 Accepting new patients
Center for Vein Restoration MD LLC Vascular Surgery CurrentSince Aug 14, 2023 Accepting new patients
Center for Vein Restoration MD LLC Vascular Surgery CurrentSince Aug 14, 2023 Accepting new patients
Center for Vein Restoration Mi PLLC CurrentSince Feb 9, 2022 Accepting new patients
VR Physician for Vein Restoration CurrentSince Apr 17, 2024 Accepting new patients
Center for Vein Restoration NJ LLC Vascular Surgery CurrentSince May 31, 2024 Accepting new patients
Center for Vein Restoration NJ LLC CurrentSince May 31, 2024 Accepting new patients

Locations (25 of 72)

3280 Ross Clark Cir
Dothan, AL 36303
Phone (334) 678-9494

701 Cottage Grove Rd
Ste E110
Bloomfield, CT 06002
Phone (860) 243-3020

136 Berlin Rd
Ste 202
Cromwell, CT 06416
Phone (860) 632-5570

622 Hebron Ave
Ste 103
Glastonbury, CT 06033
Phone (727) 452-8777

40 Cross St
Ste 320
Norwalk, CT 06851
Phone (203) 845-2004

479 Buckland Rd
Fl 2
South Windsor, CT 06074
Phone (860) 288-7244

1290 Summer St
Ste 2100
Stamford, CT 06905
Phone (240) 965-3271

475 Chase Pkwy
Waterbury, CT 06708
Phone (203) 755-4200

10755 W 143rd St
Orland Park, IL 60462
Phone (708) 226-4800

236 E Irving Park Rd
Wood Dale, IL 60191
Phone (301) 982-2000

6540 Logan Dr
Ste 2
Evansville, IN 47715
Phone (812) 474-1400

7230 Engle Rd
Ste 101
Fort Wayne, IN 46804
Phone (219) 436-8636

33 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 644-6355

1445 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-7100

105 S Raceway Rd
Ste 135
Indianapolis, IN 46231
Phone (317) 203-7970

9410 Calumet Ave
Ste 202
Munster, IN 46321

108 Forbes St
Annapolis, MD 21401
Phone (410) 729-4878

2002 Medical Pkwy
Ste 350
Annapolis, MD 21401
Phone (301) 441-2269

620 W Macphail Rd
Ste 104
Bel Air, MD 21014
Phone (410) 836-5272

8860 Columbia 100 Pkwy
Ste 400
Columbia, MD 21045
Phone (443) 393-3145

141 Thomas Johnson Dr
Ste 190
Frederick, MD 21702
Phone (240) 629-3942

19735 Germantown Rd
Ste 330
Germantown, MD 20874

1600 Crain Hwy S
Ste 408
Glen Burnie, MD 21061
Phone (410) 768-3936

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

7300 Hanover Dr
Ste 303
Greenbelt, MD 20770
Phone (240) 965-3271

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jessica.brunopac.p3@direct.cvr.nextgenshare.com
  • Direct secure messaging: jessica.brunopac.p5@direct.cvr.nextgenshare.com
  • Direct secure messaging: jessica.bruno.p4@direct.cvm-usa.nextgenshare.com
  • Direct secure messaging: jessica.williams.1@13023.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1083123558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20800",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 S JOG RD STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462387",
            "telephone_number": "561-303-0013",
            "fax_number": "561-499-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.