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JESSICA ANNE WILLIAMS
NPI 1538925706
Speech-Language Pathologist in Eden Prairie, MN

Active since February 26, 2024
10300 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347(952) 444-5000 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Anne Williams NPPES

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

JESSICA ANNE WILLIAMS (NPI 1538925706) is an individual speech-language pathologist provider in Eden Prairie, Minnesota, licensed in Minnesota (14116594) and active in the NPI registry since February 2024. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1538925706
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA ANNE WILLIAMS
Location Address10300 HENNEPIN TOWN RDEden Prairie, MN 55347-5100
Mailing Address15667 88th St Ne Apt 222Otsego, MN 55330-2960 · (763) 614-6857
Phone(952) 444-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1538925706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 14116594
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
10300 HENNEPIN TOWN RD, Eden Prairie, MN 55347
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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)

Jessica Anne Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820534241
PECOS Enrollment IDI20240722003430

Medicare Billing Reassignment

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

Active Therapy Mn
Same address
Physical Therapist
10300 HENNEPIN TOWN RD
Eden Prairie, MN 55347
  • Reassigned Medicare billing, Minnesota enrollment
  • 27 clinicians in this Medicare group
NPI 1730835257 (612) 562-8204

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

LAUREN BERTRAND OTD
Occupational Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (612) 562-8204
AEGIS GROUP PRACTICE LLC
Physical Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (479) 201-6037
RENEWAL MN LLC
Physical Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (952) 444-5000
JESSICA HORMANN MA OTR/L
Occupational Therapist (Physical Rehabilitation)
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (651) 270-3920
TAMARA MAE RUEDEBUSCH OTR/L
Occupational Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (612) 562-8204
PRAIRIE BLUFFS REHABILITATION CENTER LLC
Skilled Nursing Facility
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (507) 203-1001
ACTIVE THERAPY MN
Physical Therapist
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (612) 562-8204
PRAIRIE BLUFFS SENIOR LIVING OPERATIONS LLC
Assisted Living Facility
10300 HENNEPIN TOWN RD
EDEN PRAIRIE, MN 55347
Hennepin County (952) 444-5000

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 Jessica Williams's NPI number?

The NPI number for Jessica Williams is 1538925706. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Jessica Williams located?

Jessica Williams practices at 10300 Hennepin Town Rd, Eden Prairie, MN 55347. The listed phone number is (952) 444-5000.

What is Jessica Williams's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jessica Williams enrolled in Medicare?

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

Which organization bills Medicare for Jessica Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Williams reassigns Medicare benefits to Active Therapy Mn (Eden Prairie, MN). 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 Jessica 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 Jessica Williams was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.