JESSE WILLIAMS NURSE PRACTITIONER
NPI 1477923241
Nurse Practitioner - Family in Greenville, MS

Active since October 05, 2015PECOS Enrolled
87.63/100
CMS Quality Rating
1400 E UNION ST, GREENVILLE, MS 38703(662) 299-2597 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2017, Feb 22, 2016, Nov 19, 2015 (3 updates tracked since 2015).

About Jesse Williams Nurse Practitioner NPPES

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

JESSE WILLIAMS NURSE PRACTITIONER (NPI 1477923241) is an individual family provider in Greenville, Mississippi, licensed in Mississippi (882991) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1477923241
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESSE WILLIAMSCredential: NURSE PRACTITIONER
Location Address1400 E UNION STGreenville, MS 38703-3246
Mailing AddressPo Box 4739Greenville, MS 38704-4739 · (662) 725-2749 · Fax (662) 725-2741
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 5, 2015
Last NPPES UpdateMarch 2, 20173 updates tracked since enumeration
✔ NPI 1477923241 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 · 882991
1400 E UNION ST, Greenville, MS 38703

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Williams Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628375565
PECOS Enrollment IDI20160321001995
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

19

Medicare enrollment records show Jesse Williams reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1693 FAIRGROUNDS RD
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 123 clinicians in this Medicare group
Emergency Medicine
1401 RIVER RD
Greenwood, MS 38930
  • Reassigned Medicare billing, Mississippi enrollment
  • 78 clinicians in this Medicare group
Hospitalist
1401 RIVER RD
Greenwood, MS 38930
  • Reassigned Medicare billing, Mississippi enrollment
  • 51 clinicians in this Medicare group
Emergency Medicine
823 GRAND AVE
Yazoo City, MS 39194
  • Reassigned Medicare billing, Mississippi enrollment
  • 50 clinicians in this Medicare group
Hospitalist
1970 HOSPITAL DR
Clarksdale, MS 38614
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
Critical Access
340 GETWELL DR
Marks, MS 38646
  • Reassigned Medicare billing, Mississippi enrollment
  • 24 clinicians in this Medicare group
Emergency Medicine
960 AVENT DR
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 83 clinicians in this Medicare group
Emergency Medicine
220 HIGHWAY 12 W
Kosciusko, MS 39090
  • Reassigned Medicare billing, Mississippi enrollment
  • 46 clinicians in this Medicare group
Family Medicine
255 MEDICAL CENTER DRIVE
Batesville, MS 38606
  • Reassigned Medicare billing, Mississippi enrollment
  • 113 clinicians in this Medicare group
Emergency Medicine
1850 CHADWICK DR
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 187 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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
227 services221 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
177 services172 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Holmes County Hospital And Clinics

Critical Access Hospitals · Lexington, MS
OwnershipGovernment - State
CMS Certification Number251319
Location239 Bowling Green RoadLexington, MS 39095 · Holmes County
Emergency services

Covington County Hospital Cah

Critical Access Hospitals · Collins, MS
OwnershipGovernment - Local
CMS Certification Number251325
Location701 South Holly AvenueCollins, MS 39428 · Covington County
Emergency services

Jefferson Davis Community Hospital Cah

Critical Access Hospitals · Prentiss, MS
OwnershipGovernment - State
CMS Certification Number251326
Location1102 Rose StreetPrentiss, MS 39474 · Jefferson Davis County
Emergency services

Baptist Medical Center Attala

Critical Access Hospitals · Kosciusko, MS
OwnershipVoluntary non-profit - Other
CMS Certification Number251336
Location220 Hwy 12 WestKosciusko, MS 39090 · Attala County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38703 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.69
Improvement Activities40

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.

Registered Nurse (Orthopedic)
1400 E UNION ST
GREENVILLE, MS 38703
Anesthesiology
1400 E UNION ST
GREENVILLE, MS 38703
Nurse Practitioner
1400 E UNION ST
GREENVILLE, MS 38703
Nurse Anesthetist, Certified Registered
1400 E UNION ST
GREENVILLE, MS 38703
Clinic/Center
1400 E UNION ST
GREENVILLE, MS 38703
Pathology (Anatomic Pathology & Clinical Pathology)
1400 E UNION ST
GREENVILLE, MS 38703
Anesthesiology
1400 E UNION ST
GREENVILLE, MS 38703
Nurse Anesthetist, Certified Registered
1400 E UNION ST
GREENVILLE, MS 38703

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 Jesse Williams's NPI number?

The NPI number for Jesse Williams is 1477923241. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Jesse Williams located?

Jesse Williams practices at 1400 E Union St, Greenville, MS 38703. The listed phone number is (662) 299-2597.

What is Jesse Williams's specialty?

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

Is Jesse Williams enrolled in Medicare?

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

Which organizations bill Medicare for Jesse Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Williams reassigns Medicare benefits to 19 organizations: Delta Medical Group (Greenville, MS), Greenwood Leflore Hospital (Greenwood, MS), Greenwood Leflore Hospital (Greenwood, MS), Yazoo Emergency Group, LLC (Yazoo City, MS), Comprehensive Hospitalists Of Ms, LLC (Clarksdale, MS) and 14 more organizations, listed in the Medicare section above. 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 Jesse Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Williams accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Health Advantage and Molina Healthcare and 3 other insurers list Jesse 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.

Is Jesse Williams affiliated with any hospitals?

According to CMS data, Jesse Williams is affiliated with St Dominic-Jackson Memorial Hospital, Holmes County Hospital And Clinics, Covington County Hospital Cah, Jefferson Davis Community Hospital Cah and Baptist Medical Center Attala.

When was this NPI record last updated?

The NPPES record for Jesse Williams was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.