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WILLISTON PEDIATRICS, INC
NPI 1326137001
Clinic/Center - Rural Health in Williston, FL

Active since October 12, 2006
223 N MAIN ST, WILLISTON, FL 32696(352) 529-0477(352) 529-0406 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Williston Pediatrics, Inc NPPES

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

WILLISTON PEDIATRICS, INC (NPI 1326137001) is a healthcare organization registered as a rural health in Williston, Florida and active in the NPI registry since October 2006. The organization lists Andrea M Quinlan, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1326137001
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWILLISTON PEDIATRICS, INC
Location Address223 N MAIN STWilliston, FL 32696-2136
Mailing Address223 N Main StWilliston, FL 32696-2136 · (352) 529-0477 · Fax (352) 529-0406
Phone(352) 529-0477
Fax(352) 529-0406
Organization SubpartNo
Authorized OfficialAndrea M QuinlanTreasurer · (352) 529-0477
Enumeration DateOctober 12, 2006
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1326137001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
223 N MAIN ST, Williston, FL 32696
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Other Identifiers 2

Medicaid660141301FL
Medicaid660141300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Williston Pediatrics, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20070517000676Part A · Rural Health ClinicDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 4

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

WILLISTON PEDIATRICS, INC
Clinic/Center (Rural Health)
223 N MAIN ST
WILLISTON, FL 32696
Levy County (352) 529-0477
DR. CASADY BLAUW GAINES MD
Pediatrics
223 N MAIN ST
WILLISTON, FL 32696
Levy County (352) 529-0477
MRS. HEATHER NICOLE STANCIL APRN
Nurse Practitioner (Family)
223 N MAIN ST
WILLISTON, FL 32696
Levy County (352) 529-0477
MRS. HEATHER MAE FUSSELL APRN
Nurse Practitioner (Family)
223 N MAIN ST
WILLISTON, FL 32696
Levy County (352) 529-0477

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 Williston Pediatrics, Inc's NPI number?

The NPI number for Williston Pediatrics, Inc is 1326137001. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Williston Pediatrics, Inc located?

Williston Pediatrics, Inc is located at 223 N Main St, Williston, FL 32696. The listed phone number is (352) 529-0477.

What is Williston Pediatrics, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Williston Pediatrics, Inc enrolled in Medicare?

Yes. Williston Pediatrics, Inc is registered in the Medicare PECOS enrollment system.

When is Williston Pediatrics, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, Rural Health Clinic) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Williston Pediatrics, Inc accept?

Health plans from Wellpoint list Williston Pediatrics, Inc 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.

When was this NPI record last updated?

The NPPES record for Williston Pediatrics, Inc was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.