Shawnda Lyn Williams

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

CNP221206 Issued in ME

Practice address

1474 Main St
Sanford, ME 04073-2426

Phone

(207) 608-8245

NPI assigned

May 18, 2022

Sex

Female

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

Enrolled in ME

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

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Medicare reassignment NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1619614955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PROVENCHER LN",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040736145",
            "telephone_number": "207-651-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732426",
            "telephone_number": "207-608-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Loving Kindness Way",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "03909",
            "country_code": "US",
            "telephone_number": "207-363-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHAWNDA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ME",
            "license": "CNP221206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Whitaker, DO
• Micralyn Denee Wiechman, APRN, FNP-C, ENP-C
• Jerrie A Will, PH.D.
• Joyce Ann Willard, RPH
• Kendra A Williams, LCSW, GC-C
• Stephanie Bruns Williams, PA-C
• Kathleen E Wilson, LCSW
• Kelsey Wilson, OD
• Pamela Winsor, PT
• Barbara Woodhead

• Acute Care Nurse Practitioner in Sanford, ME
• Providers in Sanford, ME by specialty
• Acute Care Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.

Verify at the official NPI Registry.