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STACEY WILLIAMS FNP
NPI 1285951657
Nurse Practitioner - Family in New York, NY

Active since April 26, 2010PECOS Enrolled
130 LENOX AVE, NEW YORK, NY 10026(866) 389-2727(401) 652-9787 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacey Williams Fnp NPPES

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

STACEY WILLIAMS FNP (NPI 1285951657) is an individual family provider in New York, New York, licensed in New York (339471) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285951657
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY WILLIAMSCredential: FNP
Location Address130 LENOX AVENew York, NY 10026-2503
Mailing Address915 Westchester AveBronx, NY 10459-3009 · (718) 764-1570 · Fax (718) 764-1574
Phone(866) 389-2727
Fax(401) 652-9787
Sole ProprietorNo
Enumeration DateApril 26, 2010
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1285951657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 339471
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License R045900-1 (NY)
130 LENOX AVE, New York, NY 10026
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Williams Fnp 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Stacey Williams reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Williams Health - Nurse Practitioner In Family Health PLLC
1.8 mi
Clinic/Center
316 E 149TH ST STE 8
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
NPI 1144790189 (718) 496-7286
Sentinel Services Group Inc
23 mi
Mental Health (Including Community Mental Health Center)
232 N MAIN ST
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1144891375 (845) 241-9724
Park Avenue Pediatrics, P.C.
25 mi
Pediatrics
12 DEERWOOD RD
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Park Avenue Pediatrics PC
  • 87 clinicians in this Medicare group
NPI 1699969543 (845) 671-4000
Beacon Place LLC
39 mi
Adult Day Care
583 STATE ROUTE 32, 5U
Highland Mills, NY 10930
  • Reassigned Medicare billing, New York enrollment
  • 23 clinicians in this Medicare group
NPI 1326429630 (845) 928-2642

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10026 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 8

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

JANNATUL FERDOUS PHARMD
Pharmacist
130 LENOX AVE
NEW YORK, NY 10026
New York County (212) 348-2199
DR. SHARON GAYED
Pharmacist
130 LENOX AVE
NEW YORK, NY 10026
New York County (212) 348-2199
KAHAK NY INC
Day Training, Developmentally Disabled Services
130 LENOX AVE, 420
NEW YORK, NY 10026
New York County (301) 641-1514
KINZA ALI
Pharmacist
130 LENOX AVE
NEW YORK, NY 10026
New York County (718) 764-7738
OSAMUYIMEN ELIZABETH IDUSOGIE
Pharmacist
130 LENOX AVE
NEW YORK, NY 10026
New York County (347) 656-0966
MR. ISSAM SALAMEH R.PH
Pharmacist
130 LENOX AVE
NEW YORK, NY 10026
New York County (212) 348-2199
ASHLEY C HANSEN PHARMD
Pharmacist
130 LENOX AVE
NEW YORK, NY 10026
New York County (212) 348-2199
DIVYA KULSHRESHTHA FNP
Nurse Practitioner (Family)
130 LENOX AVE
NEW YORK, NY 10026
New York County (212) 348-2199

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 Stacey Williams's NPI number?

The NPI number for Stacey Williams is 1285951657. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Where is Stacey Williams located?

Stacey Williams practices at 130 Lenox Ave, New York, NY 10026. The listed phone number is (866) 389-2727.

What is Stacey Williams's specialty?

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

Is Stacey Williams enrolled in Medicare?

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

Which organizations bill Medicare for Stacey Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Williams reassigns Medicare benefits to 4 organizations: Williams Health - Nurse Practitioner In Family Health PLLC (Bronx, NY), Sentinel Services Group Inc (Spring Valley, NY), Park Avenue Pediatrics, P.C. (Spring Valley, NY) and Beacon Place LLC (Highland Mills, NY). 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 Stacey Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Williams was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.