Jenna Williams

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014019285 Issued in MO

Practice address

450 E Sigler Ave
Ste a
Memphis, MO 63555-1726

Phone

(660) 465-2828

NPI assigned

Jul 3, 2014

Last updated

Jul 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IA2 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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotland County Memorial HospitalGroup PAC ID 8224940366, shared by 6 NPIs, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scotland County Home Health Agency Home health agency, Memphis, MO, CCN 267070
• Northeast Regional Home Health Home health agency, Kirksville, MO, CCN 267296
• Scotland County Hospital Hospital, Memphis, MO, CCN 261310
• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scotland County Memorial Hospital

  dba Scotland County Hospital

  • Critical Access Hospital
  • Memphis, MO
  • NPI 1083624647
  Medicare reassignment NPD
• Scotland County Memorial Hospital

  dba Memphis Medical Services

  • Rural Health Clinic/Center
  • Memphis, MO
  • NPI 1205844982
  Medicare reassignment NPD
• Emergency Services of Iowa LLC

  • Emergency Medicine Physician
  • Ottumwa, IA
  • NPI 1477017663
  Medicare reassignment NPD
• Scotland County Memorial Hospital

  dba Edina Medical Services

  • Family Medicine Physician
  • Edina, MO
  • NPI 1568092732
  NPD
• Scotland County Memorial Hospital

  dba Memphis Medical Services

  • Family Medicine Physician
  • Memphis, MO
  • NPI 1578761060
  NPD
• Scotland County Memorial Hospital

  dba Lancaster Medical Services

  • Rural Health Clinic/Center
  • Lancaster, MO
  • NPI 1407865132
  NPD (past)

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

• Kirksville Home Care Services LLC

  dba Northeast Regional Home Health

  • Home Health Agency
  • Kirksville, MO
  • NPI 1598200917
  Care Compare affiliation
• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  Care Compare affiliation
• Scotland County Health Department & Home Health Agency

  • Home Health Agency
  • Memphis, MO
  • NPI 1003812355
  Care Compare affiliation
• Scotland County Memorial Hospital

  dba Scotland County Hospital

  • Critical Access Hospital
  • Memphis, MO
  • NPI 1083624647
  Care Compare affiliation

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1962818468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E SIGLER AVE",
            "address_2": "STE A",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E SIGLER AVE",
            "address_2": "STE A",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551726",
            "telephone_number": "660-465-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014019285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Ashley Smith
• Anna C Stoeckmann, PT
• Randall Tobler, M.D.
• Meagan Weber, PT
• Brandi Ann White, FNP
• Shane Charles Wilson, DO

• Family Nurse Practitioner in Memphis, MO
• Providers in Memphis, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.