Benjamin Jerome Williams

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

8281 Issued in MN

Practice address

963 Robert St S
West St Paul, MN 55118-1446

Phone

(651) 726-9500

NPI assigned

Mar 2, 2022

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Child and Teen Medical Center

  • Pediatrics Physician
  • Blaine, MN
  • NPI 1225158520
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1376299107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 ROBERT ST S",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551181446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 ROBERT ST S",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551181446",
            "telephone_number": "651-726-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11107 Ulysses St NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554344264",
            "country_code": "US",
            "telephone_number": "763-333-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BENJAMIN",
        "middle_name": "JEROME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "8281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Craig Warner, MSW, LICSW
• West St Paul Family Dentisty PLLC
• Westec Healthcare &Medical Supplies Inc
• Lindsay Nicole Williams Palaniappan, M.D.
• Anne Williams, PHARMD
• Jennifer Williams, PHARM.D.
• Jonathan Charles Williams, DC
• Willow Branch Counseling Services, Inc
• Wisconsin Lutheran Child & Family Service (Christian Family Counseling)
• Kayla Wohlers

• Pediatric Nurse Practitioner in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.