Active NPI
Kelsey E Williams
- Surgery Physician
- Chesapeake, VA
National Provider Identifier
1720345333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101265152
- Practice address
- 844 Battlefield Blvd N Ste 100
Chesapeake, VA 23320-4802 - Phone
- (757) 312-3033
- Fax
- (757) 842-4490
- NPI assigned
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD461555 | PA | |
| Surgery Physician | 208600000X | 0101265152 | VA | Primary |
Addresses
Primary practice location
844 Battlefield Blvd N Ste 100
Chesapeake, VA 23320-4802
Mailing address
7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone (402) 484-6677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Eastern Virginia Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 S 70TH St
St Elizabeth Regional Med Center
Lincoln, NE 68510-2462
Phone (402) 219-8000
7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone (402) 484-6677
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.5 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 35
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.57 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 65.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD461555 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Imaging, LLC | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Surgery | Current | Accepting new patients |
| The Physician Network | Surgery | Past | Accepting new patients |
Locations
555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Lincoln, NE
- NPI 1437116936
-
- Diagnostic Radiology Physician
- Lincoln, NE
- NPI 1548227036
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
- Critical Access Hospital
- Auburn, NE
- NPI 1891736237
-
dba CHI Health St. Elizabeth
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1720345333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 PIONEERS BLVD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685064675",
"telephone_number": "402-484-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 BATTLEFIELD BLVD N STE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204802",
"telephone_number": "757-312-3033",
"fax_number": "757-842-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KELSEY",
"middle_name": "E",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD461555",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101265152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.