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CARLLISA WILLIAMS RN
NPI 1124515440
Nurse Practitioner - Family in Jacksonville, FL

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
856 POYDRAS LN W, JACKSONVILLE, FL 32218(904) 502-4851 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Dec 1, 2022, Nov 25, 2022 and 1 more (4 updates tracked since 2018).

About Carllisa Williams Rn NPPES

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

CARLLISA WILLIAMS RN (NPI 1124515440) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11022415) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Mary, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124515440
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLLISA WILLIAMSCredential: RN
Location Address856 POYDRAS LN WJacksonville, FL 32218-7694
Mailing Address856 Poydras Ln WJacksonville, FL 32218-7694 · (904) 502-4851
Phone(904) 502-4851
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 23, 2018
Last NPPES UpdateDecember 1, 20224 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1124515440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11022415
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9438927 (FL)
Also ListedNursing CareTaxonomy 251J00000X
856 POYDRAS LN W, Jacksonville, FL 32218
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Secondary Practice Location 1

Location 1525 Technology Park Ste 109Lake Mary, FL 32746-7107 · Phone (407) 647-2346

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Carllisa Williams Rn 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 ID1052780145
PECOS Enrollment IDI20221213000109
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.

Areas of Expertise CMS Part B claims 4

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
315 services41 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
102 services40 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
20 services13 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Carllisa Williams's NPI number?

The NPI number for Carllisa Williams is 1124515440. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Carllisa Williams located?

Carllisa Williams practices at 856 Poydras Ln W, Jacksonville, FL 32218. The listed phone number is (904) 502-4851.

What is Carllisa Williams's specialty?

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

Is Carllisa Williams enrolled in Medicare?

Yes. Carllisa 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.

When was this NPI record last updated?

The NPPES record for Carllisa Williams was last updated on December 1, 2022. 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.