TYSON NOEL WILLIAMS PA-C
NPI 1205512688
Physician Assistant in Fargo, ND

Active since June 22, 2023PECOS EnrolledAccepts Medicare Assignment
2801 UNIVERSITY DR S, FARGO, ND 58103(701) 234-5673(701) 234-7195 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2026, Jul 17, 2023, Jun 22, 2023 (3 updates tracked since 2023).

About Tyson Noel Williams Pa-c NPPES

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

TYSON NOEL WILLIAMS PA-C (NPI 1205512688) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (PAC1013) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1205512688
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYSON NOEL WILLIAMSCredential: PA-C
Location Address2801 UNIVERSITY DR SFargo, ND 58103-6029
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(701) 234-7195
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2023
Enumeration DateJune 22, 2023
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1205512688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ND · PAC1013
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedFamily MedicineTaxonomy 207Q00000X · License PA1013 (ND)
2801 UNIVERSITY DR S, Fargo, ND 58103

Secondary Practice Location 1

Location 13290 20th St SFargo, ND 58104-5917 · Phone (701) 499-4800 · Fax (701) 451-9452

Accepted Insurance

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

Tyson Noel Williams Pa-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 ID7517328099
PECOS Enrollment IDI20230822000440
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 9

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.
197 services113 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.
108 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
32 services32 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
32 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
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 16

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

Internal Medicine (Sleep Medicine)
2801 UNIVERSITY DR S
FARGO, ND 58103
Nurse Practitioner
2801 UNIVERSITY DR S
FARGO, ND 58103
Nurse Practitioner
2801 UNIVERSITY DR S
FARGO, ND 58103
Physician Assistant
2801 UNIVERSITY DR S
FARGO, ND 58103
Psychiatry & Neurology (Sleep Medicine)
2801 UNIVERSITY DR S
FARGO, ND 58103
Nurse Practitioner
2801 UNIVERSITY DR S
FARGO, ND 58103
Psychiatry & Neurology (Psychiatry)
2801 UNIVERSITY DR S
FARGO, ND 58103
Plastic Surgery
2801 UNIVERSITY DR S
FARGO, ND 58103

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 Tyson Williams's NPI number?

The NPI number for Tyson Williams is 1205512688. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Tyson Williams located?

Tyson Williams practices at 2801 University Dr S, Fargo, ND 58103. The listed phone number is (701) 234-5673.

What is Tyson Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tyson Williams enrolled in Medicare?

Yes. Tyson 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.

What insurance does Tyson Williams accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Tyson 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 Tyson Williams affiliated with any hospitals?

According to CMS data, Tyson Williams is affiliated with Sanford Medical Center Fargo and Essentia Health.

When was this NPI record last updated?

The NPPES record for Tyson Williams was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.