Individual provider Active NPI

Berkeley Williams, PA-C

  • Physician Assistant
  • Westbrook, ME
National Provider Identifier
1235183997
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA853 Issued in ME
Practice address
40 Park Rd
Westbrook, ME 04092-3188
Phone
(207) 797-4445
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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 PA853 ME Primary

Addresses

Primary practice location

40 Park Rd
Westbrook, ME 04092-3188

Mailing address

144 State St
Portland, ME 04101-3776
Phone (207) 857-8174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20180319000672 NH Practitioner - Physician Assistant 1951352913 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians
Express Med at Salem, LLCGroup PAC ID 7315268612, 4 clinicians

Practice addresses (Care Compare)

1 Pillsbury St
Concord, NH 03301-3556
Phone (603) 223-2300

14 Broad St
Suite a
Nashua, NH 03064-2011
Phone (603) 889-2354

159 N Broadway
Salem, NH 03079-2136
Phone (603) 898-0961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1172NHMDPhysical Therapy Assistant
PA853MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Feb 19, 2018 Accepting new patients
American Current Care PA CurrentSince Feb 19, 2018 Accepting new patients
Expressmed, LLC CurrentSince Jan 13, 2025 Accepting new patients
Intermed, PA PastSince Mar 20, 1991 Accepting new patients
Mercy Hospital Past Accepting new patients
Intermed, PA Past Accepting new patients

Locations

1 Pillsbury St
Concord, NH 03301
Phone (603) 223-2300

1 Highlander Way
Ste 2
Manchester, NH 03103
Phone (603) 625-2622

Organizations & group practices 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1235183997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013776",
            "telephone_number": "207-857-8174",
            "fax_number": "207-857-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923188",
            "telephone_number": "207-797-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BERKELEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.