Individual provider Active NPI

Jessica Michelle Williams, M.D.

  • Obstetrics & Gynecology Physician
  • Merriam, KS
National Provider Identifier
1346539715
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR0055045 Issued in CO
Practice address
7440 W Frontage Rd
Merriam, KS 66203-4670
Phone
(913) 236-6455
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR0055045 CO Primary

Addresses

Primary practice location

7440 W Frontage Rd
Merriam, KS 66203-4670

Mailing address

7440 W Frontage Rd
Merriam, KS 66203-4670
Phone (913) 236-6455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180116001077 CO Practitioner - Obstetrics/Gynecology 2062771256 Reassigns benefits to 1 organization
I20240426000944 KS Practitioner - Obstetrics/Gynecology 2062771256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Services LLCGroup PAC ID 1658500962, 39 clinicians

Practice addresses (Care Compare)

7440 W Frontage Rd
Merriam, KS 66203-4670
Phone (913) 236-6455

9301 W 74TH St
325 Womens Care
Shawnee Mission, KS 66204-2217
Phone (913) 384-4990

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0055045COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Obstetrics & Gynecology CurrentSince May 10, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Feb 1, 2018 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Mid America Physician Services Obstetrics & Gynecology CurrentSince Feb 28, 2024 Accepting new patients
Womens Care Obstetrics & Gynecology Past Accepting new patients
Johnson County OB-GYN Chartered Obstetrics & Gynecology PastSince Sep 29, 2024 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

6705 Rangewood Dr
Colorado Springs, CO 80918
Phone (719) 364-0900

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

8801 Monrovia St
Ste 200
Lenexa, KS 66215

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9301 W 74th St
Ste 325
Shawnee Msn, KS 66204
Phone (913) 384-4990

7440 W Frontage Rd
Shawnee Msn, KS 66203
Phone (913) 236-6455

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 2

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1346539715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 W FRONTAGE RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662034670",
            "telephone_number": "913-236-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 W FRONTAGE RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662034670",
            "telephone_number": "913-236-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR0055045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.