BLAKE MCCULLOUGH WILLIAMS FNP
NPI 1396363438
Nurse Practitioner - Primary Care in Columbus, OH

Q: What is Blake Williams's NPI number?

The NPI number for Blake Williams is 1396363438. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Q: What is Blake Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Blake Williams was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 06, 2020PECOS Enrolled

4200 REGENT ST STE 200, COLUMBUS, OH 43219(877) 870-1775(614) 968-8840 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2025, Jul 6, 2020 (2 updates tracked since 2020).

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About Blake Mccullough Williams Fnp NPPES

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

BLAKE MCCULLOUGH WILLIAMS FNP (NPI 1396363438) is an individual primary care provider in Columbus, Ohio, licensed in Louisiana (214331) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396363438

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameBLAKE MCCULLOUGH WILLIAMSCredential: FNP

Location Address4200 REGENT ST STE 200Columbus, OH 43219-6229

Mailing Address435 Williams Hill RdPitkin, LA 70656-5762 · (318) 308-4063

Phone(877) 870-1775

Fax(614) 968-8840

Sole ProprietorNo

Enumeration DateJuly 6, 2020

Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1396363438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in LA · 214331

4200 REGENT ST STE 200, Columbus, OH 43219

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Mccullough Williams Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 43219 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

JENNIFER NICKENS FNP-C

Nurse Practitioner (Family)