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

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 3

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

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 (330 clinicians)

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 Home health agency · Utica, NY · CCN 337078
  • Acacia Certified Home Care Co Home health agency · Utica, NY · CCN 337423
  • Wynn Hospital Hospital · Utica, NY · CCN 330044

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20100113000782 NY Practitioner - Nurse Practitioner 0840331757 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F439489NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gloversville Physician Medicine Services PC Current
since Dec 31, 2012
Accepting new patients
MVHS Inc Current
since Feb 5, 2015
Accepting new patients
MVHS Inc Current
since Feb 5, 2015
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

  • Direct secure messaging: uwilliams12749@mvhealthsystem.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000420517001OtherNYBSH NE NY
9042146OtherNYMVP HEALTHPLAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 13, 2017.

{
    "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

All providers in Barneveld, NY · Adult Health Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.