CARLLISA WILLIAMS RN
NPI 1124515440
Nurse Practitioner - Family in Jacksonville, FL
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
Specialties & Licenses 3
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carllisa Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32216
- Reassigned Medicare billing, Florida enrollment
- 9 clinicians in this Medicare group
Lake Mary, FL 32746
- Reassigned Medicare billing, Florida enrollment
- 329 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 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.
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.
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.
Which organizations bill Medicare for Carllisa Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carllisa Williams reassigns Medicare benefits to 2 organizations: Patient Focus Physicians Associates Inc (Jacksonville, FL) and Central Florida Inpatient Medicine LLC (Lake Mary, FL). 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 Carllisa Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carllisa Williams accept?
Health plans from UnitedHealthcare list Carllisa Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Carllisa Williams, RN · NPI 1124515440
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since April 23, 2018.
## Identity
- **NPI:** 1124515440 (Entity type: Individual)
- **Enumerated:** April 23, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11022415 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 856 POYDRAS LN W, Jacksonville, FL 32218-7694
- **Phone:** (904) 502-4851
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Patient Focus Physicians Associates Inc (NPI 1801407291, Jacksonville, FL); Central Florida Inpatient Medicine LLC (NPI 1649228859, Lake Mary, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124515440) · Data from the CMS NPPES public registry.