Shanna M Williams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10002597A Issued in IN

Practice address

2302 Chester Blvd Ste a
Richmond, IN 47374-1221

Phone

(765) 488-0345

Fax

(765) 488-2467

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shanna Gilbert Former name

Medicare fee-for-service enrollment

Enrolled in OH, NJ2 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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Workit Health Oh LLCGroup PAC ID 1557788197, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Workit Health (Oh) LLC

  • General Practice Physician
  • Holland, OH
  • NPI 1649894262
  Medicare reassignment Care Compare group
• Workit Health NJ LLC

  • Multi-Specialty Clinic/Center
  • Marlton, NJ
  • NPI 1841833050
  Medicare reassignment NPD
• Cleanslate Medical Group of Pennsylvania LLC

  • Multi-Specialty Clinic/Center
  • Wilkes Barre, PA
  • NPI 1184177263
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1689145591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N UNION ST",
            "city": "UNION CITY",
            "state": "IN",
            "postal_code": "473901422",
            "telephone_number": "937-467-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 CHESTER BLVD STE A",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741221",
            "telephone_number": "765-488-0345",
            "fax_number": "765-488-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANNA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005816RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002597A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "GILBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Williams
• Cara N Williams, NP
• Hubert Williams Jr., LAC
• Robert Douglas Williams, D.D.S
• Ronald N. Williams, PH.D.
• Joseph Williamson, D.O.
• Marsha S. Williamson, CNM, MSN
• Michael J Williamson, D.O.
• Nicholas Scott Willits, BCBA
• Angelia Elizabeth Wilson

• Physician Assistant in Richmond, IN
• Providers in Richmond, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.