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BEVERLY DENOLA WILLIAMS NURSE PRACTITIONER
NPI 1336915065
Nurse Practitioner - Gerontology in Pottsville, PA

Active since December 04, 2023PECOS Enrolled
1851 W END AVE, POTTSVILLE, PA 17901(570) 622-9101(570) 622-9102 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Beverly Denola Williams Nurse Practitioner NPPES

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

BEVERLY DENOLA WILLIAMS NURSE PRACTITIONER (NPI 1336915065) is an individual gerontology provider in Pottsville, Pennsylvania, licensed in Pennsylvania (SP028803) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336915065
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameBEVERLY DENOLA WILLIAMSCredential: NURSE PRACTITIONER
Location Address1851 W END AVEPottsville, PA 17901-2050
Mailing Address808 Brookfield CirMacungie, PA 18062-1157 · (610) 704-5383
Phone(570) 622-9101
Fax(570) 622-9102
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 4, 2023
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1336915065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP028803
1851 W END AVE, Pottsville, PA 17901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Denola Williams Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820433030
PECOS Enrollment IDI20240227004651
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 Reassignment

Medicare enrollment records show Beverly Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rite Med Group Of PA PLLC
40 mi
Internal Medicine
2232 29TH ST SW
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 clinicians in this Medicare group
NPI 1962118000 (610) 797-4651

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 16

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

MS. LISA M. MARSICANO LCSW
Social Worker (Clinical)
1851 W END AVE
POTTSVILLE, PA 17901
Schuylkill County (570) 622-9101
LISA JOSEPHINE BRENNAN RN
Registered Nurse
1851 W END AVE
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2611
DAVID DIPERI
Counselor (Mental Health)
1851 W END AVE
POTTSVILLE, PA 17901
Schuylkill County (570) 622-9101
PETER P SIDORIAK
Durable Medical Equipment & Medical Supplies
1851 W END AVE
POTTSVILLE, PA 17901
Schuylkill County (570) 622-3668
TAMMY GWEN MUNSTER MED
Counselor (Mental Health)
1851 W END AVE
POTTSVILLE, PA 17901
Schuylkill County (570) 622-9101
CHERYL O'CONNOR RN
Registered Nurse
1851 W END AVE
POTTSVILLE, PA 17901
Schuylkill County (570) 628-2611
HADIA IRFAN
Social Worker
1851 W END AVE
POTTSVILLE, PA 17901
Schuylkill County (570) 622-9101
POTTSVILLE REHABILITATION LLC
Clinic/Center (Physical Therapy)
1851 W END AVE, SUITE C
POTTSVILLE, PA 17901
Schuylkill County (570) 449-8684

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 Beverly Williams's NPI number?

The NPI number for Beverly Williams is 1336915065. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Beverly Williams located?

Beverly Williams practices at 1851 W End Ave, Pottsville, PA 17901. The listed phone number is (570) 622-9101.

What is Beverly Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Beverly Williams enrolled in Medicare?

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

Which organization bills Medicare for Beverly Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Williams reassigns Medicare benefits to Rite Med Group Of PA PLLC (Allentown, PA). The 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 Beverly Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Williams accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Beverly Williams 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.

Is Beverly Williams affiliated with any hospitals?

According to CMS data, Beverly Williams is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Beverly Williams was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.