Active NPI
Casey David Williams, FNP
- Primary Care Nurse Practitioner
- Roanoke, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 209.033457
- Practice address
- 401 N Main St
Roanoke, IL 61561-7585 - Phone
- (309) 923-2661
- NPI assigned
- Oct 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209.033457 | IL | Primary |
Addresses
Primary practice location
401 N Main St
Roanoke, IL 61561-7585
Mailing address
401 N Main St
Roanoke, IL 61561-7585
Phone (815) 482-7458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251027003743 | IL | Practitioner - Nurse Practitioner | 6103315502 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint James HospitalOsf Multi-Specialty Group
Practice addresses (Care Compare)
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828
401 N Main St
Osf Healthcare Medical Group Roanoke
Roanoke, IL 61561-7585
Phone (309) 923-2661
5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Phone (309) 683-8156
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.033457 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Saint James Hospital | Past | Accepting new patients |
Locations
3422 Court St
#A
Pekin, IL 61554
Phone (309) 477-6000
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5114 N Glen Park Place Rd
Ste 110
Peoria, IL 61614
Phone (309) 683-5600
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
Organizations & group practices 17
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.
-
- Rural Health Clinic/Center
- Roanoke, IL
- NPI 1164138848
-
- Medicare Defined Swing Bed Hospital Unit
- Pontiac, IL
- NPI 1023060613
-
- Rural Health Clinic/Center
- El Paso, IL
- NPI 1154046597
-
- Rural Health Clinic/Center
- Dwight, IL
- NPI 1205551652
-
- Rural Health Clinic/Center
- Pontiac, IL
- NPI 1245955608
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
- Rural Health Clinic/Center
- Flanagan, IL
- NPI 1437874898
-
- Rural Health Clinic/Center
- Pontiac, IL
- NPI 1447976113
-
- Rural Health Clinic/Center
- Cullom, IL
- NPI 1467178814
-
- Rural Health Clinic/Center
- Clinton, IL
- NPI 1770208134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1992670053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N MAIN ST",
"city": "ROANOKE",
"state": "IL",
"postal_code": "615617585",
"telephone_number": "815-482-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N MAIN ST",
"city": "ROANOKE",
"state": "IL",
"postal_code": "615617585",
"telephone_number": "309-923-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CASEY",
"middle_name": "DAVID",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209.033457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.