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RACINE WILLIAMS BSN
NPI 1104375641
Registered Nurse in Miami Shores, FL

Active since September 26, 2016Accepts Medicare Assignment
11300 NE 2ND AVE, MIAMI SHORES, FL 33161(954) 397-5012 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2023, Sep 26, 2016 (2 updates tracked since 2016).

About Racine Williams Bsn NPPES

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

RACINE WILLIAMS BSN (NPI 1104375641) is an individual registered nurse in Miami Shores, Florida, licensed in Florida (RN9491826) and active in the NPI registry since September 2016. She is affiliated with Inova Mount Vernon Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104375641
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameRACINE WILLIAMSCredential: BSN
Location Address11300 NE 2ND AVEMiami Shores, FL 33161-6628
Mailing Address4551 Tara Cove WayWest Palm Beach, FL 33417-3004
Phone(954) 397-5012
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 26, 2016
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1104375641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in FL · RN9491826
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · SchoolTaxonomy 363LS0200X · License RN9491826 (FL)
11300 NE 2ND AVE, Miami Shores, FL 33161
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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

Racine Williams Bsn 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 ID9133614241
PECOS Enrollment IDI20251216003873

Hospital Affiliations CMS Care Compare

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

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

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.

KAYLEE EILEEN YAGER PA
Physician Assistant
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
CHELSEA ANN PADUANO
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
KEVIN L COLON-RODRIGUEZ
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
LUISA LEMOS
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
KATE MACKENZIE WELZ
Physician Assistant
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
SARAH LUCY EVANS CRNA
Nurse Anesthetist, Certified Registered
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (360) 621-3275
THERESA REYNOSO-IBARRA PA-C
Physician Assistant
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000
MISS MARNIE LARISSA HAWES I ATC
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Miami-Dade County (305) 899-3000

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 Racine Williams's NPI number?

The NPI number for Racine Williams is 1104375641. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Where is Racine Williams located?

Racine Williams practices at 11300 NE 2nd Ave, Miami Shores, FL 33161. The listed phone number is (954) 397-5012.

What is Racine Williams's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Racine Williams enrolled in Medicare?

Yes. Racine Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Racine Williams affiliated with any hospitals?

According to CMS data, Racine Williams is affiliated with Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Racine Williams was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.