Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAVEN SHANISE WILLIAMS PA-C
NPI 1528624160
Physician Assistant in West Memphis, AR

Q: What is Raven Williams's NPI number?

The NPI number for Raven Williams is 1528624160. It was assigned to this individual provider in the NPPES registry on May 18, 2019.

Q: What is Raven Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Williams was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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 May 18, 2019PECOS Enrolled

900 N 7TH ST, WEST MEMPHIS, AR 72301(870) 293-0594(870) 394-9476 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Feb 10, 2023, Sep 25, 2021 and 3 more (6 updates tracked since 2019).

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About Raven Shanise Williams Pa-c NPPES

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

RAVEN SHANISE WILLIAMS PA-C (NPI 1528624160) is an individual physician assistant in West Memphis, Arkansas, licensed in Arkansas (PA-1504) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528624160

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameRAVEN SHANISE WILLIAMSCredential: PA-C

Location Address900 N 7TH STWest Memphis, AR 72301-2001

Mailing Address900 N 7th StWest Memphis, AR 72301-2001 · (870) 735-3842

Phone(870) 293-0594

Fax(870) 394-9476

Sole ProprietorNo

Enumeration DateMay 18, 2019

Last NPPES UpdateJune 24, 20266 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1528624160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in AR · PA-1504✔ Licensed in AZ · 8040✔ Licensed in MS · PA00656✔ Licensed in TN · 6260

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

900 N 7TH ST, West Memphis, AR 72301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Shanise Williams Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72301 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

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.

DR. JAMES LANGSTON COWAN III M.D.

Pediatrics (Adolescent Medicine)