STACEY ANNE WILLIAMS FNP
NPI 1174197099
Nurse Practitioner in Honolulu, HI

Active since May 15, 2021PECOS EnrolledAccepts Medicare Assignment
1360 S BERETANIA ST, HONOLULU, HI 96814(808) 210-4444 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, May 15, 2021 (2 updates tracked since 2021).

About Stacey Anne Williams Fnp NPPES

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

STACEY ANNE WILLIAMS FNP (NPI 1174197099) is an individual nurse practitioner in Honolulu, Hawaii, licensed in Hawaii (APRN-1406) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174197099
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACEY ANNE WILLIAMSCredential: FNP
Location Address1360 S BERETANIA STHonolulu, HI 96814-1520
Mailing Address94-1169 Kukula StWaipahu, HI 96797-5261 · (801) 368-8508
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2021
Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
NPI 1174197099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in HI · APRN-1406
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1360 S BERETANIA ST, Honolulu, HI 96814

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

Stacey Anne Williams Fnp 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 ID4385179670
PECOS Enrollment IDI20241122003258
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120011
Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

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.

Anesthesiology
1360 S BERETANIA ST, #215
HONOLULU, HI 96814
Anesthesiology
1360 S BERETANIA ST, #215
HONOLULU, HI 96814
Prosthetic/Orthotic Supplier
1360 S BERETANIA ST, SUITE 401
HONOLULU, HI 96814
Anesthesiology
1360 S BERETANIA ST, #215
HONOLULU, HI 96814
Psychologist
1360 S BERETANIA ST, SUITE 218
HONOLULU, HI 96814
Anesthesiology
1360 S BERETANIA ST
HONOLULU, HI 96814
Occupational Therapist (Hand)
1360 S BERETANIA ST, SUITE 401
HONOLULU, HI 96814
Anesthesiology
1360 S BERETANIA ST, SUITE 215
HONOLULU, HI 96814

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 Stacey Williams's NPI number?

The NPI number for Stacey Williams is 1174197099. It was assigned to this individual provider in the NPPES registry on May 15, 2021.

Where is Stacey Williams located?

Stacey Williams practices at 1360 S Beretania St, Honolulu, HI 96814. The listed phone number is (808) 210-4444.

What is Stacey Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacey Williams enrolled in Medicare?

Yes. Stacey 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.

Is Stacey Williams affiliated with any hospitals?

According to CMS data, Stacey Williams is affiliated with Kaiser Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Williams was last updated on January 9, 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.