1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Nurse Practitioner
  6. NPI Profile

STACY WILLIAMS
NPI 1477188332
Nurse Practitioner - Family in Gulfport, MS

Active since March 10, 2020PECOS EnrolledAccepts Medicare Assignment
1340 BROAD AVE STE 300, GULFPORT, MS 39501(228) 575-2700(228) 575-2710 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Mar 10, 2020 (2 updates tracked since 2020).

About Stacy Williams NPPES

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

STACY WILLIAMS (NPI 1477188332) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (903897) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hattiesburg, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477188332
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY WILLIAMS
Location Address1340 BROAD AVE STE 300Gulfport, MS 39501-2404
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 575-1194 · Fax (228) 575-2917
Phone(228) 575-2700
Fax(228) 575-2710
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2020
Last NPPES UpdateJanuary 21, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
✔ NPI 1477188332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 903897
1340 BROAD AVE STE 300, Gulfport, MS 39501
Open in Google Maps ↗

Secondary Practice Location 1

Location 118 Nicolaus DrHattiesburg, MS 39402-8112 · Phone (601) 325-5254

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy 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.

PECOS PAC ID941613079
PECOS Enrollment IDI20210111002150
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 39501 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 6

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

DR. NAVIN V BAROT MD
Internal Medicine (Gastroenterology)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
LORI EDWARDS
Nurse Practitioner (Family)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
AMBERE LYNN RIGGS NP
Nurse Practitioner (Family)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
JERRY WILLIAMS FNP-BC
Nurse Practitioner (Family)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
LAURA ROGERS
Nurse Practitioner (Gerontology)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
MATT K GATLIN
Nurse Practitioner
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700

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 Stacy Williams's NPI number?

The NPI number for Stacy Williams is 1477188332. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Stacy Williams located?

Stacy Williams practices at 1340 Broad Ave Ste 300, Gulfport, MS 39501. The listed phone number is (228) 575-2700.

What is Stacy Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Williams enrolled in Medicare?

Yes. Stacy 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.

What insurance does Stacy Williams accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Stacy 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 Stacy Williams was last updated on January 21, 2021. 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.