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