Individual provider Active NPI

Rebecca Ellen Williams, ARNP, CNM

  • Advanced Practice Midwife
  • Lake Mary, FL
National Provider Identifier
1841675501
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9294610 Issued in FL
Practice address
719 Rodel CV
Suite 1015
Lake Mary, FL 32746-5716
Phone
(407) 302-3133
Fax
(407) 389-5363
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP9294610 FL Primary

Addresses

Primary practice location

719 Rodel CV
Suite 1015
Lake Mary, FL 32746-5716

Mailing address

719 Rodel CV
Suite 1015
Lake Mary, FL 32746-5716
Phone (407) 302-3133

Other identifiers 1

IdentifierTypeStateIssuer
015470800MedicaidFL

Other names 1

  • Miss Rebecca Ellen Schwarz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106002173 GA Practitioner - Certified Nurse Midwife (CNM) 6103132113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1700 Hospital S Dr
Austell, GA 30106-8159

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP9294610FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Oct 30, 2017 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 30, 2017 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

1700 Hospital South Dr
Ste 500
Austell, GA 30106
Phone (770) 941-7717

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

4441 Atlanta Rd SE
Ste 206
Smyrna, GA 30080
Phone (770) 333-2020

Interoperability endpoints

  • Direct secure messaging: rwilliams144634@directwellstar.org

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": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1841675501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 RODEL CV",
            "address_2": "SUITE 1015",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "407-302-3133",
            "fax_number": "407-389-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 RODEL CV",
            "address_2": "SUITE 1015",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "407-302-3133",
            "fax_number": "407-389-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REBECCA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9294610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015470800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SCHWARZ",
            "middle_name": "ELLEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.