CHANELL S WILLIAMS DNP, FNP, ENP
NPI 1114779840
Nurse Practitioner in Newark, NJ
About Chanell S Williams Dnp, Fnp, Enp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANELL S WILLIAMS DNP, FNP, ENP (NPI 1114779840) is an individual nurse practitioner in Newark, New Jersey, licensed in New Jersey (26NJ15130900) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chanell S Williams Dnp, Fnp, Enp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Hospital
Acute Care Hospitals · Newark, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
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 Chanell Williams's NPI number?
The NPI number for Chanell Williams is 1114779840. It was assigned to this individual provider in the NPPES registry on April 4, 2024.
Where is Chanell Williams located?
Chanell Williams practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-2676.
What is Chanell Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Chanell Williams enrolled in Medicare?
Yes. Chanell Williams is registered in the Medicare PECOS enrollment system.
Is Chanell Williams affiliated with any hospitals?
According to CMS data, Chanell Williams is affiliated with The University Hospital.
When was this NPI record last updated?
The NPPES record for Chanell Williams was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Chanell S Williams, DNP, FNP, ENP · NPI 1114779840
Nurse Practitioner physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 4, 2024.
## Identity
- **NPI:** 1114779840 (Entity type: Individual)
- **Enumerated:** April 4, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 26NJ15130900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 BERGEN ST, Newark, NJ 07103
- **Phone:** (973) 972-2676
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114779840) · Data from the CMS NPPES public registry.