Individual provider Active NPI

Wendy Williams

  • Family Nurse Practitioner
  • Willard, OH
National Provider Identifier
1679978001
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.16413 Issued in OH
Practice address
1100 Neal Zick Rd
Willard, OH 44890-9287
Phone
(419) 964-5000
NPI assigned
Oct 28, 2014
Last updated
Oct 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.16413 OH Primary

Addresses

Primary practice location

1100 Neal Zick Rd
Willard, OH 44890-9287

Mailing address

1100 Neal Zick Rd
Willard, OH 44890-9287
Phone (419) 964-5000

Other names 1

  • Wendy Renee Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150721000310 OH Practitioner - Nurse Practitioner 1951614973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

1100 Neal Zick Rd
Willard, OH 44890-9287
Phone (419) 964-5080

218 S Myrtle Ave
Willard, OH 44890-1408
Phone (419) 964-5380

3900 Sunforest CT
Suite 240
Toledo, OH 43623-4481
Phone (419) 475-1600

45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-8501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.16413OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Nurse Practitioner CurrentSince Dec 1, 2016 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jun 9, 2015 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jun 9, 2015 Accepting new patients

Locations

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

27 St Lawrence Dr
Ste 203
Tiffin, OH 44883
Phone (419) 455-8560

486 W Perry St
Tiffin, OH 44883
Phone 41922130721104

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 964-5000

218 S Myrtle Ave
Willard, OH 44890
Phone (419) 933-2811

Interoperability endpoints

  • Direct secure messaging: wwilliams61205@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1679978001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NEAL ZICK RD",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909287",
            "telephone_number": "419-964-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEAL ZICK RD",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448909287",
            "telephone_number": "419-964-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "WILLIAMS",
            "middle_name": "RENEE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Willard, OH

Sources for this page

Verify at the official NPI Registry.