Individual provider Active NPI

Chandler Gibson Williams, NP

  • Adult Health Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1275223547
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704329519 Issued in MI
Practice address
1105 6TH St
Traverse City, MI 49684-2386
Phone
(231) 935-5000
NPI assigned
May 10, 2023
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704329519 MI Primary

Addresses

Primary practice location

1105 6TH St
Traverse City, MI 49684-2386

Mailing address

7043 Burr St
Benzonia, MI 49616-9599
Phone (269) 290-4311

Other practice location 1

1000 Pavilions Cir
Traverse City, MI 49684-3198
Phone (231) 932-3000

Other practice location 2

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 932-3000

Other practice location 3

217 S Madison St
Traverse City, MI 49684-2321
Phone (231) 932-3000

Other names 1

  • Chandler Jessica Gibson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240920002005 MI Practitioner - Nurse Practitioner 3971044629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland Univ, William Beaumont School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC CurrentSince Jul 15, 2024 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jul 15, 2024 Accepting new patients
Grand Traverse Physician Services PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1000 Pavilions Cir
Traverse City, MI 49684
Phone (231) 932-3000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1275223547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 BURR ST",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496169599",
            "telephone_number": "269-290-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 6TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842386",
            "telephone_number": "231-935-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Pavilions Cir",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496843198",
            "country_code": "US",
            "telephone_number": "231-932-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863580",
            "country_code": "US",
            "telephone_number": "231-932-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842321",
            "country_code": "US",
            "telephone_number": "231-932-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHANDLER",
        "middle_name": "GIBSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704329519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDLER",
            "last_name": "GIBSON",
            "middle_name": "JESSICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.