Individual provider Active NPI

Jennifer Ann Williams, APRN

  • Family Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1174115067
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011437 Issued in FL
Practice address
8901 State Road 54
New Port Richey, FL 34655-3006
Phone
(727) 516-8802
Fax
(727) 390-6191
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 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 11011437 FL Primary

Addresses

Primary practice location

8901 State Road 54
New Port Richey, FL 34655-3006

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

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
I20210316000235 FL Practitioner - Nurse Practitioner 5799191854 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

Practice addresses (Care Compare)

4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312

8901 State Rd
Suite 54
New Port Richey, FL 34655-3006
Phone (727) 516-8802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011437FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care FL JV PLLC CurrentSince Dec 9, 2024 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC CurrentSince Dec 9, 2024 Accepting new patients
WT Health of Florida LLC CurrentSince Oct 20, 2025 Accepting new patients
Wound Technology Network Inc CurrentSince Oct 20, 2025 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC Current Accepting new patients
Pcma Palliative Division LLC CurrentSince Dec 1, 2025 Accepting new patients
Gulfside Hospice, Inc. PastSince Feb 18, 2021 Accepting new patients

Locations

10991 San Jose Blvd
#100
Jacksonville, FL 32223
Phone (904) 839-1263

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

8901 State Road 54
New Port Richey, FL 34655
Phone (727) 484-1192

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1174115067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553006",
            "telephone_number": "727-516-8802",
            "fax_number": "727-390-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.