Individual provider Active NPI

Sheila M Williams, PA-C

  • Physician Assistant
  • Kearney, NE
National Provider Identifier
1710126206
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1418 Issued in NE
Practice address
3219 Central Ave Ste 102
Kearney, NE 68847-2949
Phone
(308) 865-2600
NPI assigned
Feb 6, 2009
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1418 NE Primary

Addresses

Primary practice location

3219 Central Ave Ste 102
Kearney, NE 68847-2949

Mailing address

3219 Central Ave Ste 102
Kearney, NE 68847-2949
Phone (308) 865-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20090505000383 NE Practitioner - Physician Assistant 6901954791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Island Dermatology PCGroup PAC ID 0244284768, 9 clinicians

Practice addresses (Care Compare)

418 N Webb Rd
Grand Island, NE 68803-4045
Phone (308) 384-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1418NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kearney Pain Treatment Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: swilliams@giderm.emadirect.md

Organizations & group practices 2

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 1

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": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1710126206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE STE 102",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472949",
            "telephone_number": "308-865-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CENTRAL AVE STE 102",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472949",
            "telephone_number": "308-865-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHEILA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.