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KATHLEEN JOY WILLIAMS NP
NPI 1508504705
Nurse Practitioner - Primary Care in Petersburg, VA

Active since May 26, 2022PECOS Enrolled
321 POPLAR DR STE C, PETERSBURG, VA 23805(804) 733-5591 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathleen Joy Williams Np NPPES

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

KATHLEEN JOY WILLIAMS NP (NPI 1508504705) is an individual primary care provider in Petersburg, Virginia, licensed in Virginia (0024184325) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508504705
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKATHLEEN JOY WILLIAMSCredential: NP
Location Address321 POPLAR DR STE CPetersburg, VA 23805-9391
Mailing Address321 Poplar Dr Ste CPetersburg, VA 23805-9391
Phone(804) 733-5591
Sole ProprietorNo
Enumeration DateMay 26, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1508504705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in VA · 0024184325
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0024184325 (VA)
321 POPLAR DR STE C, Petersburg, VA 23805
Open in Google Maps ↗

Other Identifiers 1

Other0024184325VA · License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Joy Williams Np 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 Reassignment

Medicare enrollment records show Kathleen Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Virginia Health Services Inc
Same address
Federally Qualified Health Center (FQHC)
321C POPLAR DR
Petersburg, VA 23805
  • Reassigned Medicare billing, Virginia enrollment
  • 129 clinicians in this Medicare group
NPI 1588878474 (804) 733-5591

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 23805 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 5

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

MICHELLE D OWEN PHARMD
Pharmacist
321 POPLAR DR STE C
PETERSBURG, VA 23805
Petersburg City (804) 733-5591
LAURA CARIATI-LENAHAN
Nurse Practitioner (Family)
321 POPLAR DR STE C
PETERSBURG, VA 23805
Petersburg City (434) 581-4073
JAMES LAVON WINSTON FNP
Nurse Practitioner (Family)
321 POPLAR DR STE C
PETERSBURG, VA 23805
Petersburg City (804) 733-5591
JESSICA DANIELLE GRAY LCSW
Social Worker (Clinical)
321 POPLAR DR STE C
PETERSBURG, VA 23805
Petersburg City (804) 733-5591
CHELSEA SMITH
Nurse Practitioner (Family)
321 POPLAR DR STE C
PETERSBURG, VA 23805
Petersburg City (804) 733-5591

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 Kathleen Williams's NPI number?

The NPI number for Kathleen Williams is 1508504705. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Kathleen Williams located?

Kathleen Williams practices at 321 Poplar Dr Ste C, Petersburg, VA 23805. The listed phone number is (804) 733-5591.

What is Kathleen Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kathleen Williams enrolled in Medicare?

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

Which organization bills Medicare for Kathleen Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Williams reassigns Medicare benefits to Central Virginia Health Services Inc (Petersburg, VA). The 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 Kathleen 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 Kathleen Williams was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.