MS. KHOSHUNDA MONIQUE WILLIAMS FNP-C
NPI 1093051872
Nurse Practitioner - Family in Athens, TX

Active since December 22, 2012PECOS Enrolled
1001 N PALESTINE ST, ATHENS, TX 75751(903) 904-5084(903) 904-5085 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2019, Aug 28, 2019, Aug 13, 2019 and 1 more (4 updates tracked since 2017).

About Ms. Khoshunda Monique Williams Fnp-c NPPES

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

MS. KHOSHUNDA MONIQUE WILLIAMS FNP-C (NPI 1093051872) is an individual family provider in Athens, Texas, licensed in Texas (AP122645) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093051872
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KHOSHUNDA MONIQUE WILLIAMSCredential: FNP-C
Location Address1001 N PALESTINE STAthens, TX 75751-4122
Mailing AddressPo Box 844273Dallas, TX 75284-4273 · (903) 534-9041
Fax(903) 904-5085
Sole ProprietorNo
Enumeration DateDecember 22, 2012
Last NPPES UpdateNovember 4, 20194 updates tracked since enumeration
✔ NPI 1093051872 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 TX · AP122645
1001 N PALESTINE ST, Athens, TX 75751

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Khoshunda Monique Williams Fnp-c 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 Reassignment

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

Federally Qualified Health Center (FQHC)
825 MEDICAL DR
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 127 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 8

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

Nurse Practitioner (Women's Health)
1001 N PALESTINE ST
ATHENS, TX 75751
Nurse Practitioner (Family)
1001 N PALESTINE ST
ATHENS, TX 75751
Pediatrics
1001 N PALESTINE ST
ATHENS, TX 75751
Nurse Practitioner
1001 N PALESTINE ST
ATHENS, TX 75751
Nurse Practitioner (Family)
1001 N PALESTINE ST
ATHENS, TX 75751
Nurse Practitioner (Pediatrics)
1001 N PALESTINE ST
ATHENS, TX 75751
Family Medicine
1001 N PALESTINE ST
ATHENS, TX 75751
Family Medicine
1001 N PALESTINE ST
ATHENS, TX 75751

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 Khoshunda Williams's NPI number?

The NPI number for Khoshunda Williams is 1093051872. It was assigned to this individual provider in the NPPES registry on December 22, 2012.

Where is Khoshunda Williams located?

Khoshunda Williams practices at 1001 N Palestine St, Athens, TX 75751. The listed phone number is (903) 904-5084.

What is Khoshunda Williams's specialty?

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

Is Khoshunda Williams enrolled in Medicare?

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

Which organization bills Medicare for Khoshunda Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khoshunda Williams reassigns Medicare benefits to Longview Wellness Center Inc (Tyler, TX). 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 Khoshunda 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 Khoshunda Williams was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.