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MS. JEANINE R WILLIAMS
NPI 1104427525
Nurse Practitioner - Family in Brooklyn, NY

Active since November 03, 2020PECOS Enrolled
4213 FOSTER AVE, BROOKLYN, NY 11203(917) 690-1387 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jeanine R Williams NPPES

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

MS. JEANINE R WILLIAMS (NPI 1104427525) is an individual family provider in Brooklyn, New York, licensed in New York (341241) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104427525
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JEANINE R WILLIAMS
Location Address4213 FOSTER AVEBrooklyn, NY 11203-5711
Mailing Address4213 Foster AveBrooklyn, NY 11203-5711
Phone(917) 690-1387
Sole ProprietorNo
Enumeration DateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1104427525 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 NY · 341241
4213 FOSTER AVE, Brooklyn, NY 11203
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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)

Ms. Jeanine R 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.

Medicare Billing Reassignments

2

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

Icahn School Of Medicine At Mount Sinai
9.4 mi
Orthopaedic Surgery
1000 10TH AVE
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 769 clinicians in this Medicare group
NPI 1124550280 (212) 523-7594
Upper Room Aids Ministry, Inc. Adult Day Health Care Center.
12 mi
Clinic/Center
169 W 133RD ST
New York, NY 10030
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
NPI 1417986340 (646) 762-4950

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 11203 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Jeanine Williams's NPI number?

The NPI number for Jeanine Williams is 1104427525. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Jeanine Williams located?

Jeanine Williams practices at 4213 Foster Ave, Brooklyn, NY 11203. The listed phone number is (917) 690-1387.

What is Jeanine Williams's specialty?

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

Is Jeanine Williams enrolled in Medicare?

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

Which organizations bill Medicare for Jeanine Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanine Williams reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and Upper Room Aids Ministry, Inc. Adult Day Health Care Center. (New York, NY). 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 Jeanine 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 Jeanine Williams was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.