MRS. MICHELLE DENISE WILLIAMS RN
NPI 1396064044
Nurse Practitioner - Psychiatric/Mental Health in Petersburg, VA

Active since May 20, 2010PECOS Enrolled
111 MORTON AVE, PETERSBURG, VA 23805(804) 862-8004 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2025, Mar 27, 2025 (2 updates tracked since 2025).

About Mrs. Michelle Denise Williams Rn NPPES

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

MRS. MICHELLE DENISE WILLIAMS RN (NPI 1396064044) is an individual psychiatric/mental health provider in Petersburg, Virginia, licensed in Virginia (0024192502) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396064044
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. MICHELLE DENISE WILLIAMSCredential: RN
Location Address111 MORTON AVEPetersburg, VA 23805-2749
Mailing Address16404 Chinook DrPetersburg, VA 23803-1104 · (804) 943-0765
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 20, 2010
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1396064044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VA · 0024192502
Also ListedRegistered NurseTaxonomy 163W00000X · License 00011138558 (VA)
111 MORTON AVE, Petersburg, VA 23805

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Michelle Denise Williams Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416424627
PECOS Enrollment IDI20260424002454
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 23805 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.

Other Providers at the Same Location NPPES 5

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

Registered Nurse (Psychiatric/Mental Health, Adult)
111 MORTON AVE
PETERSBURG, VA 23805
Counselor (Mental Health)
111 MORTON AVE
PETERSBURG, VA 23805
Licensed Practical Nurse
111 MORTON AVE
PETERSBURG, VA 23805
Registered Nurse
111 MORTON AVE
PETERSBURG, VA 23805
Day Training, Developmentally Disabled Services
111 MORTON AVE
PETERSBURG, VA 23805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396064044, enumerated as an "individual" on May 20, 2010.

The provider is located at 111 MORTON AVE PETERSBURG, VA 23805 and the phone number is (804) 862-8004.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.