BRENNA MARIE WILLIAMS FNP-C, APRN
NPI 1104461128
Nurse Practitioner in Tampa, FL
About Brenna Marie Williams Fnp-c, Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENNA MARIE WILLIAMS FNP-C, APRN (NPI 1104461128) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11005482) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brenna Marie Williams Fnp-c, Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Brenna Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
- 992 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Brenna Williams's NPI number?
The NPI number for Brenna Williams is 1104461128. It was assigned to this individual provider in the NPPES registry on November 13, 2019.
Where is Brenna Williams located?
Brenna Williams practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-8000.
What is Brenna Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Brenna Williams enrolled in Medicare?
Yes. Brenna 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.
Which organization bills Medicare for Brenna Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenna Williams reassigns Medicare benefits to H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL). 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 Brenna 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 Brenna Williams was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Brenna Marie Williams, FNP-C, APRN · NPI 1104461128
Nurse Practitioner physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since November 13, 2019.
## Identity
- **NPI:** 1104461128 (Entity type: Individual)
- **Enumerated:** November 13, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN11005482 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 12902 USF MAGNOLIA DR, Tampa, FL 33612-9416
- **Phone:** (813) 745-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (NPI 1306833595, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104461128) · Data from the CMS NPPES public registry.