MS. SAMANTHA WILLIAMS NP
NPI 1245761758
Nurse Practitioner - Family in Charlotte, NC

Q: What is Samantha Williams's NPI number?

The NPI number for Samantha Williams is 1245761758. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Q: What is Samantha Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Williams was last updated on December 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2017PECOS EnrolledAccepts Medicare Assignment

10515 MALLARD CREEK RD, CHARLOTTE, NC 28262(704) 494-3466 Get Directions Write a Review

NPPES record last updated: December 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2025, Feb 19, 2021, Mar 26, 2017 (3 updates tracked since 2017).

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About Ms. Samantha Williams Np NPPES

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

MS. SAMANTHA WILLIAMS NP (NPI 1245761758) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5009399) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245761758

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SAMANTHA WILLIAMSCredential: NP

Location Address10515 MALLARD CREEK RDCharlotte, NC 28262-9785

Mailing Address10515 Mallard Creek RdCharlotte, NC 28262-9785 · (704) 253-5795

Phone(704) 494-3466

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 26, 2017

Last NPPES UpdateDecember 27, 20253 updates tracked since enumeration

NPPES CertifiedDecember 27, 2025

✔ NPI 1245761758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5009399

10515 MALLARD CREEK RD, Charlotte, NC 28262

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Ms. Samantha Williams Np 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 ID4183033400

PECOS Enrollment IDI20210517001320

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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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.

SUSAN PRICE FNP

Nurse Practitioner (Family)