Individual provider Active NPI

Jeanette Williams, APNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Darlington, WI
National Provider Identifier
1497568638
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16635-33 Issued in WI
Practice address
211 Bev Anderson Dr
Darlington, WI 53530-1228
Phone
(608) 776-4466
NPI assigned
Jan 30, 2025
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16635-33 WI Primary

Addresses

Primary practice location

211 Bev Anderson Dr
Darlington, WI 53530-1228

Mailing address

17798 Hidden Valley LN
Argyle, WI 53504-9599
Phone (262) 994-6131

Other practice location 1

N3152 State Road 81
Monroe, WI 53566-9397
Phone (608) 328-9352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250620000801 WI Practitioner - Nurse Practitioner 4284146812 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette CountyGroup PAC ID 9436054772, shared by 7 NPIs, 27 clinicians
County of GreenGroup PAC ID 8921057712, 4 clinicians

Practice addresses (Care Compare)

211 Bev Anderson Dr
Darlington, WI 53530-8801
Phone (608) 776-4466

N3152 State Rd
Suite 81
Monroe, WI 53566-9397
Phone (608) 328-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16635-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette County CurrentSince Jun 1, 2025 Accepting new patients
Lafayette County CurrentSince Jun 1, 2025 Accepting new patients
Lafayette County CurrentSince Jun 1, 2025 Accepting new patients
County of Green CurrentSince Jul 8, 2025 Accepting new patients

Locations

211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

N3152 State Road 81
Monroe, WI 53566
Phone (608) 328-9352

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.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1497568638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17798 HIDDEN VALLEY LN",
            "city": "ARGYLE",
            "state": "WI",
            "postal_code": "535049599",
            "telephone_number": "262-994-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BEV ANDERSON DR",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301228",
            "telephone_number": "608-776-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N3152 State Road 81",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535669397",
            "country_code": "US",
            "telephone_number": "608-328-9352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEANETTE",
        "credential": "APNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16635-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darlington, WI

Sources for this page

Verify at the official NPI Registry.