Individual provider Active NPI

Jarod Williams, NP

  • Primary Care Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1588156236
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95009081 Issued in CA
Practice address
1827 S Court St Ste a
Visalia, CA 93277-5469
Phone
(559) 372-7390
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95009081 CA Primary

Addresses

Primary practice location

1827 S Court St Ste a
Visalia, CA 93277-5469

Mailing address

PO Box 1511
Visalia, CA 93279-1511
Phone (559) 372-7390

Other practice location 1

3130 W Caldwell Ave
Visalia, CA 93277-7063
Phone (559) 635-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180622000745 CA Practitioner - Nurse Practitioner 0244585818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverway Medical Group a Medical CorporationGroup PAC ID 6204248701, 8 clinicians

Practice addresses (Care Compare)

1827 S Court St
Suite a
Visalia, CA 93277-5469
Phone (559) 372-7390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009081CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverway Medical Group a Medical Corporation CurrentSince Nov 1, 2020 Accepting new patients
Advanced Care Medical Group Inc CurrentSince May 21, 2018 Accepting new patients
Cep America-California CurrentSince Mar 1, 2020 Accepting new patients
Cep America - California CurrentSince Mar 1, 2020 Accepting new patients
Cep America - California Current Accepting new patients
Corning Hospital PastSince Nov 1, 2020 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

1827 S Court St
Ste A
Visalia, CA 93277
Phone (559) 372-7390

3130 W Caldwell Ave
Visalia, CA 93277
Phone (559) 635-7800

Interoperability endpoints

  • Direct secure messaging: riverway.jarodwilliams@156074.advancedmd-direct.com

Organizations & group practices 6

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1588156236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1511",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932791511",
            "telephone_number": "559-372-7390",
            "fax_number": "559-372-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 S COURT ST STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-372-7390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 W Caldwell Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932777063",
            "country_code": "US",
            "telephone_number": "559-635-7800",
            "fax_number": "559-635-7805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAROD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95009081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.