Individual provider Active NPI

Emily Williams, PA

  • Physician Assistant
  • Crawfordsville, IN
National Provider Identifier
1154843100
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1601 Lafayette Rd
Crawfordsville, IN 47933-1032
Phone
(765) 362-1212
Fax
(765) 361-0210
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 Primary

Addresses

Primary practice location

1601 Lafayette Rd
Crawfordsville, IN 47933-1032

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (630) 519-6543

Other practice location 1

9120 Columbia Ave
Munster, IN 46321-2907
Phone (219) 513-9415

Other practice location 2

3800 Saint Mary Rd Ste 204
Valparaiso, IN 46383-3986
Phone (219) 769-7060

Other practice location 3

275 Joliet St Ste 225
Dyer, IN 46311-1789
Phone (219) 865-8800

Other practice location 4

311 E 89th Ave
Merrillville, IN 46410-8162
Phone (219) 769-7062

Other practice location 5

1703 Calumet Ave
Valparaiso, IN 46383-3128
Phone (219) 242-8415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20171120001599 IN Practitioner - Physician Assistant 7012274426 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
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1601 Lafayette Rd
Crawfordsville, IN 47933-1032
Phone (815) 744-8554

3501 Enterprise Ave
Valparaiso, IN 46383-6953
Phone (815) 744-8554

Hospital & facility affiliations

  • Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022
  • Indiana University Health Arnett Hospital Hospital, Lafayette, IN, CCN 150173

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Past Accepting new patients
Dermatology and Plastic Surgery Associates, S.C. PastSince Apr 3, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.williams@qdp.emadirect.md

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 3

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1154843100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "630-519-6543",
            "fax_number": "615-277-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331032",
            "telephone_number": "765-362-1212",
            "fax_number": "765-361-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9120 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212907",
            "country_code": "US",
            "telephone_number": "219-513-9415",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Saint Mary Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833986",
            "country_code": "US",
            "telephone_number": "219-769-7060",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Joliet St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463111789",
            "country_code": "US",
            "telephone_number": "219-865-8800",
            "fax_number": "219-865-8908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 E 89th Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464108162",
            "country_code": "US",
            "telephone_number": "219-769-7062",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833128",
            "country_code": "US",
            "telephone_number": "219-242-8415",
            "fax_number": "815-744-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EMILY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

Verify at the official NPI Registry.