JACQUALINE WILLIAMS
NPI 1033863857
Nurse Practitioner in Anderson, IN
About Jacqualine Williams NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUALINE WILLIAMS (NPI 1033863857) is an individual nurse practitioner in Anderson, Indiana, licensed in Indiana (71012183A) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of Other (2021).
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
Jacqualine 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jacqualine Williams reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anderson, IN 46016
- Reassigned Medicare billing, Indiana enrollment
- 58 clinicians in this Medicare group
Yorktown, IN 47396
- Reassigned Medicare billing, Indiana enrollment
- 635 clinicians in this Medicare group
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 83 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 166 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 7
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.
Indiana University Health Ball Memorial Hospital
Acute Care Hospitals · Muncie, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46013 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANDERSON, IN 46013
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 Jacqualine Williams's NPI number?
The NPI number for Jacqualine Williams is 1033863857. It was assigned to this individual provider in the NPPES registry on February 10, 2022.
Where is Jacqualine Williams located?
Jacqualine Williams practices at 3125 S Scatterfield Rd, Anderson, IN 46013. The listed phone number is (765) 298-4903.
What is Jacqualine Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacqualine Williams enrolled in Medicare?
Yes. Jacqualine 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 organizations bill Medicare for Jacqualine Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqualine Williams reassigns Medicare benefits to 4 organizations: Open Door Health Services, Inc. (Anderson, IN), Indiana University Health Ball Memorial Physicians, Inc. (Yorktown, IN), Community Physician Network Urgent Care LLC (Indianapolis, IN) and Pic Indiana PC (Mishawaka, IN). 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 Jacqualine Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqualine Williams accept?
Health plans from CareSource and UnitedHealthcare list Jacqualine Williams 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 Jacqualine Williams affiliated with any hospitals?
According to CMS data, Jacqualine Williams is affiliated with Indiana University Health Ball Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacqualine Williams was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jacqualine Williams · NPI 1033863857
Nurse Practitioner physician in Anderson, Indiana. Individual provider, active in the CMS NPPES registry since February 10, 2022.
## Identity
- **NPI:** 1033863857 (Entity type: Individual)
- **Enumerated:** February 10, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71012183A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3125 S SCATTERFIELD RD, Anderson, IN 46013-1802
- **Phone:** (765) 298-4903
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Open Door Health Services, Inc. (NPI 1508811910, Anderson, IN); Indiana University Health Ball Memorial Physicians, Inc. (NPI 1710206990, Yorktown, IN); Community Physician Network Urgent Care LLC (NPI 1487444782, Indianapolis, IN); Pic Indiana PC (NPI 1942546890, Mishawaka, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033863857) · Data from the CMS NPPES public registry.