Camille V Williams, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2015002155 Issued in MO

Practice address

109 N Blue Jay Dr
Liberty, MO 64068-1906

Phone

(816) 691-1424

NPI assigned

Aug 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score

92.91 of 100Reported as apm

Quality

77.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Truman Medical Center, Incorporated

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1144207937
  Medicare reassignment NPD
• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333
  Medicare reassignment NPD
• Kansas University Physicians Inc

  • Neurological Surgery Physician
  • Kansas City, KS
  • NPI 1922144856

  MO

  Medicare reassignment NPD
• Truman Medical Center Incorporated

  • Anesthesiology Physician
  • Kansas City, MO
  • NPI 1588832091
  NPD
• Truman Medical Center, Incorporated

  • Otolaryngology Physician
  • Kansas City, MO
  • NPI 1184893224
  NPD
• Truman Medical Center, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1225773401
  NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Kansas University Physicians, Inc.

  • Urgent Care Clinic/Center
  • Kansas City, KS
  • NPI 1295378156
  NPD
• Meritas Health Corporation

  • Neurology Physician
  • North Kansas City, MO
  • NPI 1023439833
  NPD (past)
• Meritas Health Corporation

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619606159
  NPD (past)
• Kansas Em I Medical Services, PA

  • Nurse Practitioner
  • Kansas City, KS
  • NPI 1952682221
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1730468018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 240",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-691-5287",
            "fax_number": "816-346-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N BLUE JAY DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681906",
            "telephone_number": "816-691-1424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAMILLE",
        "middle_name": "V",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015002155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015002155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "823141",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "105935",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2015002155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Wiedholz
• Hailey Wilde
• Miranda Wilder
• Aaron Wilkerson
• Brooke Williams, LPC, RPT
• Janet Williams
• Karmin Williams
• Lisa Willingham
• Brett Lee Wilson, PA
• Brian Wilson, OTR

• Primary Care Nurse Practitioner in Liberty, MO
• Providers in Liberty, MO by specialty
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.