LESHAUN WILLIAMS
NPI 1043679681
Nurse Practitioner - Family in Chicago, IL

Q: What is Leshaun Williams's NPI number?

The NPI number for Leshaun Williams is 1043679681. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Q: What is Leshaun Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leshaun Williams was last updated on February 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 10, 2016PECOS EnrolledAccepts Medicare Assignment

11000 S HALSTED ST, CHICAGO, IL 60628(773) 264-2236(773) 264-2237 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Leshaun Williams NPPES

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

LESHAUN WILLIAMS (NPI 1043679681) is an individual family provider in Chicago, Illinois, licensed in Illinois (209013662) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with St Bernard Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043679681

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLESHAUN WILLIAMS

Location Address11000 S HALSTED STChicago, IL 60628-3909

Mailing Address11000 S Halsted StChicago, IL 60628-3909 · (773) 264-2236 · Fax (773) 264-2237

Phone(773) 264-2236

Fax(773) 264-2237

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 10, 2016

✔ NPI 1043679681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209013662

11000 S HALSTED ST, Chicago, IL 60628

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leshaun 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 ID941580823

PECOS Enrollment IDI20161212000651

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Bernard Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140103

Location326 W 64th StChicago, IL 60621 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 5

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

CHIEN I KO MD

Family Medicine