KENEIL A WILLIAMS
NPI 1407551286
Nurse Practitioner - Primary Care in Paterson, NJ
About Keneil A Williams NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENEIL A WILLIAMS (NPI 1407551286) is an individual primary care provider in Paterson, New Jersey, licensed in New Jersey (AG09220094) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keneil A Williams 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.
Medicare Billing Reassignments
2Medicare enrollment records show Keneil Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07105
- Reassigned Medicare billing, New Jersey enrollment
- 9 clinicians in this Medicare group
Princeton, NJ 08540
- Reassigned Medicare billing, New Jersey enrollment
- 421 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Keneil Williams's NPI number?
The NPI number for Keneil Williams is 1407551286. It was assigned to this individual provider in the NPPES registry on April 3, 2023.
Where is Keneil Williams located?
Keneil Williams practices at 268 Mcbride Ave Building 2 Apt 3, Paterson, NJ 07501. The listed phone number is (973) 413-5590.
What is Keneil Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Keneil Williams enrolled in Medicare?
Yes. Keneil 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.
Which organizations bill Medicare for Keneil Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keneil Williams reassigns Medicare benefits to 2 organizations: Essex Gastro Associates, PA (Newark, NJ) and Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ). Each 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 Keneil Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keneil Williams accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Keneil 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.
When was this NPI record last updated?
The NPPES record for Keneil Williams was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Keneil A Williams · NPI 1407551286
Primary Care physician in Paterson, New Jersey. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1407551286 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AG09220094 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 268 MCBRIDE AVE, BUILDING 2 APT 3, Paterson, NJ 07501
- **Phone:** (973) 413-5590
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Essex Gastro Associates, PA (NPI 1114933926, Newark, NJ); Signify Health Medical Associates Of New Jersey, LLC (NPI 1174187728, Princeton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407551286) · Data from the CMS NPPES public registry.