Individual provider Active NPI

Elizabeth Rose Williams, NP

  • Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1841078508
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11028642 Issued in FL
Practice address
17883 SE 86TH Oak Leaf Ter
The Villages, FL 32162-4835
Phone
(540) 850-2140
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11028642 FL Primary

Addresses

Primary practice location

17883 SE 86TH Oak Leaf Ter
The Villages, FL 32162-4835

Mailing address

17883 SE 86TH Oak Leaf Ter
The Villages, FL 32162-4835
Phone (540) 850-2140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231108001652 FL Practitioner - Nurse Practitioner 3577919240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians
Synergy Inpatient Services LLCGroup PAC ID 7810361524, 21 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

Hospital & facility affiliations

  • Village Home Care LLC Home health agency, Lady Lake, FL, CCN 108125
  • Trilogy Home Healthcare Home health agency, Ocala, FL, CCN 103167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028642FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Inpatient Services LLC CurrentSince Apr 28, 2025 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Nov 1, 2023 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Nov 1, 2023 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Nov 1, 2023 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

910 Old Camp Rd
Ste 130
The Villages, FL 32162
Phone (352) 326-5254

410 W Gulf Atlantic Hwy
Wildwood, FL 34785
Phone (352) 565-7675

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1841078508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17883 SE 86TH OAK LEAF TER",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321624835",
            "telephone_number": "540-850-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17883 SE 86TH OAK LEAF TER",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321624835",
            "telephone_number": "540-850-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.