Active NPI
Jan S Williams, ACNP, APRN, BC
- Nurse Practitioner
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024166796
- Practice address
- 8640 Sudley Rd Ste 302
Manassas, VA 20110-4404 - Phone
- (703) 369-5959
- Fax
- (703) 369-7473
- NPI assigned
- Dec 11, 2006
- Last updated
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024166796 | NC | Primary |
Addresses
Primary practice location
8640 Sudley Rd Ste 302
Manassas, VA 20110-4404
Mailing address
PO Box 748613
Atlanta, GA 30384-8613
Other practice location 1
8700 Sudley Rd
Prince William Hospital
Manassas, VA 20110-4418
Phone (703) 926-0909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8640 Sudley Rd
Suite 302
Manassas, VA 20110-4404
Phone (703) 369-5959
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166796 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Past | Accepting new patients |
Locations
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
8640 Sudley Rd
Ste 302
Manassas, VA 20110
Phone (703) 369-5959
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
dba UVA Health Inpatient Medicine Culpeper
- Internal Medicine Physician
- Culpeper, VA
- NPI 1992157580
-
dba UVA Health Bull Run Family Medicine Manassas
- Family Medicine Physician
- Manassas, VA
- NPI 1366744039
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UVA Health Prince William Medical Center
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1548320492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748613",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848613",
"fax_number": "703-369-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8640 SUDLEY RD STE 302",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104404",
"telephone_number": "703-369-5959",
"fax_number": "703-369-7473"
}
],
"practiceLocations": [
{
"address_1": "8700 Sudley Rd",
"address_2": "Prince William Hospital",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104418",
"country_code": "US",
"telephone_number": "703-926-0909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAN",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "ACNP, APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "0024166796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.