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VANESSA WILLIAMS
NPI 1013799170
Nurse Practitioner - Psychiatric/Mental Health in Rancho Cucamonga, CA

Active since October 13, 2023PECOS EnrolledAccepts Medicare Assignment
8273 WHITE OAK AVE STE B, RANCHO CUCAMONGA, CA 91730(909) 686-0783 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2025, May 16, 2025, Mar 25, 2025 and 1 more (4 updates tracked since 2023).

About Vanessa Williams NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANESSA WILLIAMS (NPI 1013799170) is an individual psychiatric/mental health provider in Rancho Cucamonga, California, licensed in California (95027668) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013799170
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameVANESSA WILLIAMS
Location Address8273 WHITE OAK AVE STE BRancho Cucamonga, CA 91730-7671
Mailing Address939 E Gladwick StCarson, CA 90746-3820 · (909) 686-0783
Phone(909) 686-0783
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 13, 2023
Last NPPES UpdateMay 24, 20254 updates tracked since enumeration
NPPES CertifiedMay 24, 2025
✔ NPI 1013799170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95027668
8273 WHITE OAK AVE STE B, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

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

Vanessa Williams 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.

PECOS PAC ID5799201935
PECOS Enrollment IDI20250430001500
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Vanessa Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Change Therapeutic Services, Inc.
31 mi
Clinical
15447 ANACAPA RD STE D102
Victorville, CA 92392
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1134718042 (090) 965-4079

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 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LA VID CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
8273 WHITE OAK AVE STE B
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 631-5768

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 Vanessa Williams's NPI number?

The NPI number for Vanessa Williams is 1013799170. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Where is Vanessa Williams located?

Vanessa Williams practices at 8273 White Oak Ave Ste B, Rancho Cucamonga, CA 91730. The listed phone number is (909) 686-0783.

What is Vanessa Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Vanessa Williams enrolled in Medicare?

Yes. Vanessa Williams 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 organization bills Medicare for Vanessa Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Williams reassigns Medicare benefits to Change Therapeutic Services, Inc. (Victorville, 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 Vanessa 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 Vanessa Williams was last updated on May 24, 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.