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TINA MICHELE WILLIAMS APRN, FNP-C
NPI 1376894840
Nurse Practitioner - Family in Grundy, VIRGINIA

Active since September 25, 2012PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
1520 SLATE CREEK RD SUITE 205, GRUNDY, VIRGINIA 24614(606) 430-2201(276) 935-0688 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2022, Mar 24, 2021, Feb 15, 2017 and 1 more (4 updates tracked since 2016).

About Tina Michele Williams Aprn, Fnp-c NPPES

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

TINA MICHELE WILLIAMS APRN, FNP-C (NPI 1376894840) is an individual family provider in Grundy, VIRGINIA, licensed in Kentucky (3007700) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains a secondary practice location in Pikeville.

NPPES Registry Identity

NPI1376894840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA MICHELE WILLIAMSCredential: APRN, FNP-C
Location Address1520 SLATE CREEK RD SUITE 205Grundy, VIRGINIA 24614
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2201 · Fax (276) 935-0688
Phone(606) 430-2201
Fax(276) 935-0688
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 25, 2012
Last NPPES UpdateAugust 2, 20224 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1376894840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3007700
1520 SLATE CREEK RD SUITE 205, Grundy, VIRGINIA 24614
Open in Google Maps ↗

Secondary Practice Location 1

Location 1911 Bypass Rd Bldg APikeville, KY 41501-1689 · Phone (606) 430-2201 · Fax (606) 218-4697

Other Identifiers 1

Medicaid7100243540KY

Accepted Insurance

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

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

Tina Michele Williams Aprn, Fnp-c 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 ID6103079645
PECOS Enrollment IDI20130110000636, I20130906000788
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services23 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
24 services24 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
23 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Buchanan General Hospital

Acute Care Hospitals · Grundy, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490127
Location1535 Slate Creek RoadGrundy, VA 24614 · Buchanan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24614 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$111.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tina Williams's NPI number?

The NPI number for Tina Williams is 1376894840. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Tina Williams located?

Tina Williams practices at 1520 Slate Creek Rd Suite 205, Grundy, VIRGINIA 24614. The listed phone number is (606) 430-2201.

What is Tina Williams's specialty?

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

Is Tina Williams enrolled in Medicare?

Yes. Tina Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tina Williams accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Tina 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 Tina Williams affiliated with any hospitals?

According to CMS data, Tina Williams is affiliated with Pikeville Medical Center and Buchanan General Hospital.

When was this NPI record last updated?

The NPPES record for Tina Williams was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.