Individual provider Active NPI

Bianca Deshawn Lee Williams, DNP

  • Nurse Practitioner
  • Beltsville, MD
National Provider Identifier
1174903678
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AC002923 Issued in MD
Practice address
11720 Beltsville Dr Ste 500-A44
Beltsville, MD 20705-3166
Phone
(202) 813-0944
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001217042 VA
Nurse Practitioner 363L00000X 0024172559 VA
Nurse Practitioner 363L00000X AC002923 MD Primary

Addresses

Primary practice location

11720 Beltsville Dr Ste 500-A44
Beltsville, MD 20705-3166

Mailing address

11720 Beltsville Dr Ste 500-A44
Beltsville, MD 20705-3166
Phone (202) 813-0944

Other practice location 1

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 252-3225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180402000235 VA Practitioner - Nurse Practitioner 8729340823 Reassigns benefits to 3 organizations
I20220505001701 MD Practitioner - Nurse Practitioner 8729340823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-4350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001217042VAMDRegistered Nurse
AC002923MDMDNurse Practitioner
0024172559VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Calvert LLC CurrentSince Apr 3, 2022 Accepting new patients
Mdics at Anne Arundel LLC CurrentSince Apr 3, 2022 Accepting new patients
Adfinitas Health at Fauquier, LLC CurrentSince Jan 27, 2020 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Jan 20, 2018 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Skytherapist Inc Past Accepting new patients

Locations

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • Direct secure messaging: bwilliams32614@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 6

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1174903678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 BELTSVILLE DR STE 500-A44",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053166",
            "telephone_number": "202-813-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 BELTSVILLE DR STE 500-A44",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053166",
            "telephone_number": "202-813-0944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-252-3225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE WILLIAMS",
        "first_name": "BIANCA",
        "middle_name": "DESHAWN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001217042",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024172559",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC002923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

Verify at the official NPI Registry.