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MRS. MICOLE WILLIAMS FNP
NPI 1477966562
Nurse Practitioner - Family in Shreveport, LA

Active since June 05, 2014PECOS Enrolled
208 BALLIS LN, SHREVEPORT, LA 71106(318) 393-2790 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Micole Williams Fnp NPPES

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

MRS. MICOLE WILLIAMS FNP (NPI 1477966562) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (AP007766) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477966562
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MICOLE WILLIAMSCredential: FNP
Location Address208 BALLIS LNShreveport, LA 71106-7988
Mailing Address208 Ballis LnShreveport, LA 71106-7988
Phone(318) 393-2790
Sole ProprietorYes
Enumeration DateJune 5, 2014
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1477966562 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 LA · AP007766
208 BALLIS LN, Shreveport, LA 71106
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Micole 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Micole Williams reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health, LLC
186 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Louisiana enrollment
  • 439 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
186 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Vpa PC
912 mi
Family Medicine
500 KIRTS BLVD, SUITE 200
Troy, MI 48084
  • Reassigned Medicare billing, Louisiana enrollment
  • 42 clinicians in this Medicare group
NPI 1336153295 (800) 759-7291
Brookview Medical Associates, PLLC
1,282 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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 71106 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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 Micole Williams's NPI number?

The NPI number for Micole Williams is 1477966562. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Micole Williams located?

Micole Williams practices at 208 Ballis Ln, Shreveport, LA 71106. The listed phone number is (318) 393-2790.

What is Micole Williams's specialty?

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

Is Micole Williams enrolled in Medicare?

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

Which organizations bill Medicare for Micole Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micole Williams reassigns Medicare benefits to 4 organizations: Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX), Vpa PC (Troy, MI) and Brookview Medical Associates, PLLC (Bohemia, NY). 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 Micole Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Micole Williams was last updated on July 20, 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.