JERILYN SUE WILLIAMS MD
NPI 1104679992
Student in an Organized Health Care Education/Training Program in Middletown, CT
About Jerilyn Sue Williams Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERILYN SUE WILLIAMS MD (NPI 1104679992) is an individual student in an organized health care education/training program in Middletown, Connecticut and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerilyn Sue Williams Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
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 Jerilyn Williams's NPI number?
The NPI number for Jerilyn Williams is 1104679992. It was assigned to this individual provider in the NPPES registry on April 10, 2024.
Where is Jerilyn Williams located?
Jerilyn Williams practices at 90 S Main St, Middletown, CT 06457. The listed phone number is (860) 358-6300.
What is Jerilyn Williams's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jerilyn Williams enrolled in Medicare?
Yes. Jerilyn Williams is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jerilyn Williams was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jerilyn Sue Williams, MD · NPI 1104679992
Student in an Organized Health Care Education/Training Program provider in Middletown, Connecticut. Individual provider, active in the CMS NPPES registry since April 10, 2024.
## Identity
- **NPI:** 1104679992 (Entity type: Individual)
- **Enumerated:** April 10, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 90 S MAIN ST, Middletown, CT 06457-3649
- **Phone:** (860) 358-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104679992) · Data from the CMS NPPES public registry.