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JACKIE RAE WILLIAMS NP-C
NPI 1194234146
Nurse Practitioner in Sandusky, OH

Active since September 21, 2017PECOS EnrolledAccepts Medicare Assignment
87.25/100
CMS Quality Rating
703 TYLER ST STE 351, SANDUSKY, OH 44870(419) 621-7620(419) 621-7623 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jackie Rae Williams Np-c NPPES

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

JACKIE RAE WILLIAMS NP-C (NPI 1194234146) is an individual nurse practitioner in Sandusky, Ohio, licensed in Ohio (APRN.CNP.021753) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and maintains a secondary practice location in Sandusky.

NPPES Registry Identity

NPI1194234146
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACKIE RAE WILLIAMSCredential: NP-C
Location Address703 TYLER ST STE 351Sandusky, OH 44870-3391
Mailing Address2214 Westwind DrSandusky, OH 44870-7010 · (419) 706-0071
Phone(419) 621-7620
Fax(419) 621-7623
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 21, 2017
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1194234146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.021753
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.
703 TYLER ST STE 351, Sandusky, OH 44870
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Other Names 1

Former Name (1)Jackie Ruttino

Secondary Practice Location 1

Location 15420 Milan RdSandusky, OH 44870-5846 · Phone (419) 557-5052

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Jackie Rae Williams Np-c 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 ID3779830401
PECOS Enrollment IDI20180725003851
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jackie Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Firelands Regional Medical Center
0.1 mi
General Acute Care Hospital
1111 HAYES AVE
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 60 clinicians in this Medicare group
NPI 1801884655 (419) 557-7400
North Coast Professional Company, LLC
0.5 mi
Internal Medicine
1912 HAYES AVE STE 1E
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 182 clinicians in this Medicare group
NPI 1881648210 (419) 557-5541

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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
315 services268 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services77 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
17 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN CASS MD
Surgery (Vascular Surgery)
703 TYLER ST STE 351
SANDUSKY, OH 44870
Erie County (419) 557-5541
VENKAT YALAMANCHILI M.D
Surgery (Vascular Surgery)
703 TYLER ST STE 351
SANDUSKY, OH 44870
Erie County (419) 621-7620

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 Jackie Williams's NPI number?

The NPI number for Jackie Williams is 1194234146. It was assigned to this individual provider in the NPPES registry on September 21, 2017. The provider is also known as Jackie Ruttino.

Where is Jackie Williams located?

Jackie Williams practices at 703 Tyler St Ste 351, Sandusky, OH 44870. The listed phone number is (419) 621-7620.

What is Jackie Williams's specialty?

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

Is Jackie Williams enrolled in Medicare?

Yes. Jackie 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 Jackie Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Williams reassigns Medicare benefits to 2 organizations: Firelands Regional Medical Center (Sandusky, OH) and North Coast Professional Company, LLC (Sandusky, OH). 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 Jackie Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Williams accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Paramount list Jackie 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.

Is Jackie Williams affiliated with any hospitals?

According to CMS data, Jackie Williams is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital, Bellevue Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Jackie Williams was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.