SHAKINAH MINYOUN WILLIAMS APRN, FNP
NPI 1255215018
Nurse Practitioner - Primary Care in Cordova, TN

Q: What is Shakinah Williams's NPI number?

The NPI number for Shakinah Williams is 1255215018. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Q: What is Shakinah Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Shakinah Williams was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 04, 2025PECOS EnrolledAccepts Medicare Assignment

765 WOODLAND TRACE LN, CORDOVA, TN 38018(888) 551-2538 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shakinah Minyoun Williams Aprn, Fnp NPPES

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

SHAKINAH MINYOUN WILLIAMS APRN, FNP (NPI 1255215018) is an individual primary care provider in Cordova, Tennessee, licensed in Mississippi (907664) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255215018

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSHAKINAH MINYOUN WILLIAMSCredential: APRN, FNP

Location Address765 WOODLAND TRACE LNCordova, TN 38018-6609

Mailing Address707 Providence Place Dr # 63Senatobia, MS 38668-5011 · (662) 654-0228

Phone(888) 551-2538

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 4, 2025

NPPES CertifiedAugust 4, 2025

✔ NPI 1255215018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in MS · 907664

765 WOODLAND TRACE LN, Cordova, TN 38018

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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

Shakinah Minyoun Williams Aprn, 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 ID6002304649

PECOS Enrollment IDI20251024000635, I20260519001268

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 38018 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 9

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

MR. COREY KONEMANN FNP-C

Nurse Practitioner (Family)