Individual provider Active NPI

Lorelei Williams, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Saint Joseph, MI
National Provider Identifier
1750669016
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
4704422241 Issued in MI
Practice address
2690 S Cleveland Ave
Saint Joseph, MI 49085-3002
Phone
(269) 428-2800
Fax
(269) 428-7177
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 28177752A IN
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 4704422241 MI Primary

Addresses

Primary practice location

2690 S Cleveland Ave
Saint Joseph, MI 49085-3002

Mailing address

2690 S Cleveland Ave
Saint Joseph, MI 49085-3002
Phone (269) 428-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241231001171 MI Practitioner - Nurse Practitioner 3476727694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Women'S Health Care PCGroup PAC ID 4183664774, 4 clinicians

Practice addresses (Care Compare)

2690 S Cleveland Ave
Saint Joseph, MI 49085-3002
Phone (269) 428-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28177752AINMDObstetrics & Gynecology Nurse Practitioner
4704422241MIMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Women'S Health Care PC CurrentSince Dec 1, 2024 Accepting new patients
Northern Indiana Maternal and Child Health Network, Inc Past Accepting new patients
Radiology Associates of Berrien County PC PastSince Dec 1, 2024 Accepting new patients

Locations

2690 S Cleveland Ave
Saint Joseph, MI 49085
Phone (269) 428-2800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGAJDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1750669016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853002",
            "telephone_number": "269-428-2800",
            "fax_number": "269-428-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853002",
            "telephone_number": "269-428-2800",
            "fax_number": "269-428-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LORELEI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IN",
            "license": "28177752A",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704422241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.