FONTAINE WILLIAMS
NPI 1467857896
Nurse Practitioner - Gerontology in Centerville, OH

Q: What is Fontaine Williams's NPI number?

The NPI number for Fontaine Williams is 1467857896. It was assigned to this individual provider in the NPPES registry on October 28, 2014.

Q: What is Fontaine Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Fontaine Williams was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 28, 2014PECOS Enrolled

2350 MIAMI VALLEY DR STE 500, CENTERVILLE, OH 45459(937) 293-1622(937) 245-6308 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2020, Aug 13, 2018 (2 updates tracked since 2018).

On this page

About Fontaine Williams NPPES

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

FONTAINE WILLIAMS (NPI 1467857896) is an individual gerontology provider in Centerville, Ohio, licensed in Ohio (APRN.CNP.17004) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467857896

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameFONTAINE WILLIAMS

Location Address2350 MIAMI VALLEY DR STE 500Centerville, OH 45459-4780

Mailing Address6680 Poe Ave Ste 200Dayton, OH 45414-2855 · (937) 293-1622

Phone(937) 293-1622

Fax(937) 245-6308

Sole ProprietorYes

Enumeration DateOctober 28, 2014

Last NPPES UpdateDecember 31, 20202 updates tracked since enumeration

NPPES CertifiedDecember 31, 2020

✔ NPI 1467857896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.17004

2350 MIAMI VALLEY DR STE 500, Centerville, OH 45459

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12222 Philadelphia DrDayton, OH 45406-1813 · Phone (937) 734-5567

Location 21 Wyoming StDayton, OH 45409-2722 · Phone (937) 208-8000

Other Identifiers 1

Medicaid0203376OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fontaine Williams 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.

Medicare Billing Reassignments

Medicare enrollment records show Fontaine Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc

Same address

Sports Medicine

2350 MIAMI VALLEY DR, STE 320
Dayton, OH 45459

Reassigned Medicare billing, Ohio enrollment
812 clinicians in this Medicare group

NPI 1326316993 (937) 438-4477

Dayton Physicians, LLC

5.8 mi

Hematology & Oncology

3120 GOVERNORS PLACE BLVD
Dayton, OH 45409

Reassigned Medicare billing, Ohio enrollment
42 clinicians in this Medicare group

NPI 1902844947 (937) 293-1622

Suresh Gupta MD Inc

6.8 mi

Specialist

1010 WOODMAN DR
Dayton, OH 45432

Reassigned Medicare billing, Ohio enrollment
10 clinicians in this Medicare group

NPI 1508895640 (937) 424-2215

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 45459 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.

KEVIN CARL BAKER APRN-CNP

Nurse Practitioner (Family)