MRS. KARLENE DENISE WILLIAMSON NURSE PRACTITIONER
NPI 1013783687
Nurse Practitioner - Family in Vandalia, OH
About Mrs. Karlene Denise Williamson Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KARLENE DENISE WILLIAMSON NURSE PRACTITIONER (NPI 1013783687) is an individual family provider in Vandalia, Ohio, licensed in Ohio (APRN.CNP.0028178) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Karlene Denise Williamson Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Karlene Williamson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miamisburg, OH 45342
- Reassigned Medicare billing, Ohio enrollment
- 984 clinicians in this Medicare group
Cincinnati, OH 45231
- Reassigned Medicare billing, Ohio enrollment
- 537 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Dayton
Acute Care Hospitals · Dayton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45377 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VANDALIA, OH 45377
VANDALIA, OH 45377
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 Karlene Williamson's NPI number?
The NPI number for Karlene Williamson is 1013783687. It was assigned to this individual provider in the NPPES registry on November 27, 2023.
Where is Karlene Williamson located?
Karlene Williamson practices at 780 Northwoods Blvd, Vandalia, OH 45377. The listed phone number is (937) 665-0324.
What is Karlene Williamson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karlene Williamson enrolled in Medicare?
Yes. Karlene Williamson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Karlene Williamson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karlene Williamson reassigns Medicare benefits to 2 organizations: Kettering Independent Medical Group Inc (Miamisburg, OH) and The Little Clinic Of Ohio LLC (Cincinnati, OH). Each 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 Karlene Williamson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karlene Williamson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Karlene Williamson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Karlene Williamson affiliated with any hospitals?
According to CMS data, Karlene Williamson is affiliated with Kettering Health Dayton.
When was this NPI record last updated?
The NPPES record for Karlene Williamson was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.