GAGE WILLIAMSON DO
NPI 1548919251
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(574) 335-6500 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gage Williamson Do NPPES

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

GAGE WILLIAMSON DO (NPI 1548919251) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Marian University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1548919251
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAGE WILLIAMSONCredential: DO
Location Address611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address611 E Douglas Rd Ste 407Mishawaka, IN 46545-1468
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1548919251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
611 E DOUGLAS RD STE 407, Mishawaka, IN 46545

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gage Williamson Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648659425
PECOS Enrollment IDI20260611003857
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

2

Medicare enrollment records show Gage Williamson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
5215 HOLY CROSS PARKWAY
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 216 clinicians in this Medicare group
Family Medicine
1919 LAKE AVE STE 102B
Plymouth, IN 46563
  • Reassigned Medicare billing, Indiana enrollment
  • 73 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.

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

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.

Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist (Pharmacotherapy)
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545

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 Gage Williamson's NPI number?

The NPI number for Gage Williamson is 1548919251. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Gage Williamson located?

Gage Williamson practices at 611 E Douglas Rd Ste 407, Mishawaka, IN 46545. The listed phone number is (574) 335-6500.

What is Gage Williamson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gage Williamson enrolled in Medicare?

Yes. Gage Williamson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gage Williamson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gage Williamson reassigns Medicare benefits to 2 organizations: Saint Joseph Regional Medical Center-South Bend Campus, Inc (Mishawaka, IN) and Saint Joseph Regional Medical Center- Plymouth Campus Inc (Plymouth, IN). 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 Gage Williamson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gage Williamson accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Gage Williamson 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 Gage Williamson affiliated with any hospitals?

According to CMS data, Gage Williamson is affiliated with Saint Joseph Regional Medical Center and Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for Gage Williamson was last updated on March 21, 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.