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KELLY WILLIAMS
NPI 1043720956
Physician Assistant - Medical in Syracuse, NY

Active since October 05, 2017PECOS Enrolled
329 N SALINA ST, SYRACUSE, NY 13203(315) 471-1564 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Kelly Williams NPPES

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

KELLY WILLIAMS (NPI 1043720956) is an individual medical provider in Syracuse, New York, licensed in New York (021455) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043720956
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY WILLIAMS
Location Address329 N SALINA STSyracuse, NY 13203-1755
Mailing Address108 Terrace CirSyracuse, NY 13214-1232
Phone(315) 471-1564
Sole ProprietorYes
Enumeration DateOctober 5, 2017
Last NPPES UpdateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1043720956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 021455
329 N SALINA ST, Syracuse, NY 13203
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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 (PECOS)

Kelly Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

SHAYE HABEL
Marriage & Family Therapist
329 N SALINA ST
SYRACUSE, NY 13203
Onondaga County (888) 839-0743
CHRISTOPHER FOOTE
Registered Nurse
329 N SALINA ST
SYRACUSE, NY 13203
Onondaga County (585) 737-1133
KIMBERLY ANIELA FURNESS RN
Registered Nurse
329 N SALINA ST
SYRACUSE, NY 13203
Onondaga County (315) 434-5333
KACEY PAULINE PETERS LMSW
Social Worker
329 N SALINA ST
SYRACUSE, NY 13203
Onondaga County (315) 471-1564
TIANNA MCDONALD
Registered Nurse (Addiction (Substance Use Disorder))
329 N SALINA ST
SYRACUSE, NY 13203
Onondaga County (315) 471-1564
MEHMOODA SHAKOOR
Counselor (Mental Health)
329 N SALINA ST
SYRACUSE, NY 13203
Onondaga County (315) 471-1564
HOLLY LYNN WEILER LCAT
Art Therapist
329 N SALINA ST
SYRACUSE, NY 13203
Onondaga County (315) 471-1564
NATASHA CUNNINGHAM CMHC-LP
Counselor (Mental Health)
329 N SALINA ST
SYRACUSE, NY 13203
Onondaga County (315) 401-4288

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 Kelly Williams's NPI number?

The NPI number for Kelly Williams is 1043720956. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Where is Kelly Williams located?

Kelly Williams practices at 329 N Salina St, Syracuse, NY 13203. The listed phone number is (315) 471-1564.

What is Kelly Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Williams enrolled in Medicare?

Yes. Kelly Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Williams was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.