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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: October 18, 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
Phone(804) 862-8004
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
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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)

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.

Medicare Billing Reassignment

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

Williams Bien Rapport LLC
4.2 mi
Psychiatric/Mental Health
2001 SNEAD AVE
Colonial Heights, VA 23834
  • Reassigned Medicare billing, Virginia enrollment
NPI 1942170139 (804) 892-0533

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 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.

MRS. ERIN MARIE PEARCE R.N.
Registered Nurse
111 MORTON AVE
PETERSBURG, VA 23805
Petersburg City (804) 862-8004
MS. ELIZABETH YVETTE PRICE LPN
Licensed Practical Nurse
111 MORTON AVE
PETERSBURG, VA 23805
Petersburg City (804) 862-8004
MRS. ADELAIDE CARY MASON RN
Registered Nurse (Psychiatric/Mental Health, Adult)
111 MORTON AVE
PETERSBURG, VA 23805
Petersburg City (804) 862-8004
FAMILY TRANSITIONS, INC.
Day Training, Developmentally Disabled Services
111 MORTON AVE
PETERSBURG, VA 23805
Petersburg City (804) 733-3922
SHARON MARIE NELSON LCSW
Counselor (Mental Health)
111 MORTON AVE
PETERSBURG, VA 23805
Petersburg City (804) 862-8004

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 Michelle Williams's NPI number?

The NPI number for Michelle Williams is 1396064044. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Michelle Williams located?

Michelle Williams practices at 111 Morton Ave, Petersburg, VA 23805. The listed phone number is (804) 862-8004.

What is Michelle Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle Williams enrolled in Medicare?

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

Which organization bills Medicare for Michelle Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Williams reassigns Medicare benefits to Williams Bien Rapport LLC (Colonial Heights, VA). 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 Michelle 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 Michelle Williams was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.