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DEANDREA BRESHEA WILLIAMS
NPI 1285344069
Nurse Practitioner in Gulfport, MS

Active since December 01, 2022PECOS Enrolled
11240 CANAL RD, GULFPORT, MS 39503(601) 410-4383 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deandrea Breshea Williams NPPES

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

DEANDREA BRESHEA WILLIAMS (NPI 1285344069) is an individual nurse practitioner in Gulfport, Mississippi, licensed in Mississippi (907922) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285344069
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEANDREA BRESHEA WILLIAMS
Location Address11240 CANAL RDGulfport, MS 39503-8625
Mailing Address5355 Overland DrBiloxi, MS 39532-8591 · (601) 410-4383
Phone(601) 410-4383
Sole ProprietorNo
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
✔ NPI 1285344069 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 MS · 907922
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.
11240 CANAL RD, Gulfport, MS 39503
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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 (PECOS)

Deandrea Breshea Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 39503 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

GULFPORT HEALTHCARE LLC
Skilled Nursing Facility
11240 CANAL RD
GULFPORT, MS 39503
Harrison County (228) 539-9943

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 Deandrea Williams's NPI number?

The NPI number for Deandrea Williams is 1285344069. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Deandrea Williams located?

Deandrea Williams practices at 11240 Canal Rd, Gulfport, MS 39503. The listed phone number is (601) 410-4383.

What is Deandrea Williams's specialty?

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

Is Deandrea Williams enrolled in Medicare?

Yes. Deandrea Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deandrea Williams was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.