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LAQUANIA WILLIAMS NURSE PRACTITIONER
NPI 1063912046
Nurse Practitioner - Primary Care in Vardaman, MS

Active since February 16, 2018PECOS Enrolled
470 COUNTY ROAD 471, VARDAMAN, MS 38878(662) 628-0621 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Laquania Williams Nurse Practitioner NPPES

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

LAQUANIA WILLIAMS NURSE PRACTITIONER (NPI 1063912046) is an individual primary care provider in Vardaman, Mississippi, licensed in California (95008190) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063912046
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLAQUANIA WILLIAMSCredential: NURSE PRACTITIONER
Location Address470 COUNTY ROAD 471Vardaman, MS 38878-9770
Mailing Address470 County Road 471Vardaman, MS 38878-9770
Phone(662) 628-0621
Sole ProprietorYes
Enumeration DateFebruary 16, 2018
✔ NPI 1063912046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in CA · 95008190✔ Licensed in MS · 901863
470 COUNTY ROAD 471, Vardaman, MS 38878
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laquania Williams Nurse Practitioner 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Laquania Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boa Vida Hospital Of Aberdeen, Ms LLC
37 mi
Clinic/Center
502 S CHESTNUT ST
Aberdeen, MS 39730
  • Reassigned Medicare billing, Mississippi enrollment
  • 168 clinicians in this Medicare group
NPI 1467115279 (662) 319-8844
Signify Health, LLC
447 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Mississippi enrollment
  • 202 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 38878 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Laquania Williams's NPI number?

The NPI number for Laquania Williams is 1063912046. It was assigned to this individual provider in the NPPES registry on February 16, 2018.

Where is Laquania Williams located?

Laquania Williams practices at 470 County Road 471, Vardaman, MS 38878. The listed phone number is (662) 628-0621.

What is Laquania Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Laquania Williams enrolled in Medicare?

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

Which organizations bill Medicare for Laquania Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laquania Williams reassigns Medicare benefits to 2 organizations: Boa Vida Hospital Of Aberdeen, Ms LLC (Aberdeen, MS) and Signify Health, LLC (Dallas, TX). 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 Laquania 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 Laquania Williams was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.