Individual provider Active NPI

Alicia Williams

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1629733290
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016944 Issued in KY
Practice address
3112 Fairview Dr
Owensboro, KY 42303-2175
Phone
(270) 240-2129
Fax
(270) 240-1227
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71011820A IN
Family Nurse Practitioner 363LF0000X 3016944 KY Primary

Addresses

Primary practice location

3112 Fairview Dr
Owensboro, KY 42303-2175

Mailing address

3112 Fairview Dr
Owensboro, KY 42303-2175
Phone (270) 240-2129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220311002006 IN Practitioner - Nurse Practitioner 3072908920 Reassigns benefits to 3 organizations
I20220325000762 KY Practitioner - Nurse Practitioner 3072908920 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247

306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247

828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081

8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247

Hospital & facility affiliations

  • Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health Home health agency, Owensboro, KY, CCN 187087
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
74.82
Promoting interoperability
76
Improvement activities
40
Cost
86.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011820AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Extended Care Specialists, Inc Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Eventus Wholehealth Midwest Inc Nurse Practitioner CurrentSince Oct 31, 2025 Accepting new patients
Roshan K Mathew, MD. P.S.C. Nurse Practitioner CurrentSince Mar 6, 2023 Accepting new patients
Eventus Ecs - Kentucky, PLLC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince Dec 11, 2021 Accepting new patients
Eventus WH Midwest Care, LLC Nurse Practitioner CurrentSince Jan 3, 2026 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

150 W Market St
Ste 400
Indianapolis, IN 46204

8398 Mississippi St
Fl 2
Merrillville, IN 46410

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4007 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-3921

922 State St
Fl 4
Bowling Green, KY 42101

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

1300 Merritt Dr
#110
Henderson, KY 42420
Phone (270) 827-8811

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

3110 Fairview Dr
Owensboro, KY 42303
Phone (270) 240-2129

Interoperability endpoints

  • Direct secure messaging: alicia.williams.p1@direct.aco.nextgenshare.com

Organizations & group practices 8

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 3

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1629733290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 FAIRVIEW DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032175",
            "telephone_number": "270-240-2129",
            "fax_number": "270-240-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 FAIRVIEW DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032175",
            "telephone_number": "270-240-2129",
            "fax_number": "270-240-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011820A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.