Ursula Annell Williams, ACNP
Individual provider Active NPI Adult Health Nurse Practitioner · Barneveld, NY
NPI 1992038053 · NPPES record last updated Apr 13, 2017
Key facts
- NPI
- 1992038053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F439489 (NY)
- Practice address
- 7980 State Route 12
Barneveld, NY 13304-2536 - Phone
- (315) 624-8440
- Fax
- (315) 624-8450
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MVHS Inc
Practice addresses (Care Compare)
1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000
7980 State Route 12
Barneveld, NY 13304-2536
Phone (315) 624-8440
Hospital & facility affiliations
- Vna Utica and Oneida Co Chha
- Acacia Certified Home Care Co
- Wynn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 75.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100113000782 | NY | Practitioner - Nurse Practitioner | 0840331757 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F439489 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gloversville Physician Medicine Services PC | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients | |
| William a Graber MD | Past | Accepting new patients |
Locations
7980 State Route 12
Barneveld, NY 13304
Phone (315) 624-8440
99 E State St
Gloversville, NY 12078
Phone (518) 773-5690
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
Interoperability endpoints
- uwilliams12749@mvhealthsystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F439489 | NY | Yes |
Addresses
Primary practice location
7980 State Route 12
Barneveld, NY 13304-2536
Mailing address
7980 State Route 12
Barneveld, NY 13304-2536
Phone (315) 624-8440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000420517001 | Other | NY | BSH NE NY |
| 9042146 | Other | NY | MVP HEALTHPLAN |
NPI Registry JSON
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1992038053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7980 STATE ROUTE 12",
"city": "BARNEVELD",
"state": "NY",
"postal_code": "133042536",
"telephone_number": "315-624-8440",
"fax_number": "315-624-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7980 STATE ROUTE 12",
"city": "BARNEVELD",
"state": "NY",
"postal_code": "133042536",
"telephone_number": "315-624-8440",
"fax_number": "315-624-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "URSULA",
"middle_name": "ANNELL",
"name_prefix": "Ms.",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F439489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSH NE NY",
"identifier": "000420517001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHPLAN",
"identifier": "9042146",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barneveld, NY
- Katrina Wadas
- Walgreen Co
- Jason Robert Ward
- Mario Wassel
- Molly Williams
- Lwin Moe Win
- Joanne Young
- Melanie Ellen Zaniewski
- Michael Shawn Ziankoski
All providers in Barneveld, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.