MRS. DEVON K WILLIAMS NP
NPI 1003670191
Nurse Practitioner - Family in El Centro, CA
About Mrs. Devon K Williams Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DEVON K WILLIAMS NP (NPI 1003670191) is an individual family provider in El Centro, California, licensed in California (950290003) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Devon K Williams Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Devon Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Imperial, CA 92251
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Imperial Valley Family Care Medical Group A P C
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Devon Williams's NPI number?
The NPI number for Devon Williams is 1003670191. It was assigned to this individual provider in the NPPES registry on February 8, 2024.
Where is Devon Williams located?
Devon Williams practices at 1550 N Imperial Ave Ste 1, El Centro, CA 92243. The listed phone number is (760) 353-4710.
What is Devon Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Devon Williams enrolled in Medicare?
Yes. Devon Williams is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Devon Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Devon Williams reassigns Medicare benefits to Imperial Valley Family Care Medical Group Apc (Imperial, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Devon Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Devon Williams was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Devon K Williams, NP · NPI 1003670191
Family physician in El Centro, California. Individual provider, active in the CMS NPPES registry since February 8, 2024.
## Identity
- **NPI:** 1003670191 (Entity type: Individual)
- **Enumerated:** February 8, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 950290003 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 N IMPERIAL AVE STE 1, El Centro, CA 92243-6304
- **Phone:** (760) 353-4710
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Imperial Valley Family Care Medical Group Apc (NPI 1275581894, Imperial, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003670191) · Data from the CMS NPPES public registry.