Individual provider Active NPI

Kayla Jade Williams, FNP

  • Family Nurse Practitioner
  • Wellsville, NY
National Provider Identifier
1184270803
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344589-01 Issued in NY
Practice address
191 N Main St
Wellsville, NY 14895-1150
Phone
(585) 593-1100
NPI assigned
Aug 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2019

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 F344589-01 NY Primary

Addresses

Primary practice location

191 N Main St
Wellsville, NY 14895-1150

Mailing address

1160 Chili Ave
Rochester, NY 14624-3035
Phone (585) 426-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 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
I20191015002219 NY Practitioner - Nurse Practitioner 1557692068 Reassigns benefits to 2 organizations
I20210503002862 MA Practitioner - Nurse Practitioner 1557692068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of Massachusetts PCGroup PAC ID 4183038359, 84 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-9394

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344589-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Hospitalist Services LLC CurrentSince Oct 1, 2019 Accepting new patients
Reliant Medical Group, Inc CurrentSince Apr 24, 2023 Accepting new patients
Delphi Healthcare PLLC CurrentSince Oct 1, 2019 Accepting new patients
Hospitalist Physicians of Massachusetts PC CurrentSince Mar 22, 2021 Accepting new patients

Locations

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

1160 Chili Ave
Rochester, NY 14624
Phone (585) 330-3374

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: kayla.williams.npi1184270803.reliant@direct.optumcare.masshiway.net

Organizations & group practices 4

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 4

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": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1184270803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 CHILI AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243035",
            "telephone_number": "585-426-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-593-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAYLA",
        "middle_name": "JADE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344589-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

Verify at the official NPI Registry.