MS. SHANTRICE MARSEILLE WILLIAMS F.N.P.
NPI 1578865549
Nurse Practitioner - Family in San Diego, CA
About Ms. Shantrice Marseille Williams F.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHANTRICE MARSEILLE WILLIAMS F.N.P. (NPI 1578865549) is an individual family provider in San Diego, California, licensed in California (19664) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Shantrice Marseille Williams F.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shantrice Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Escondido, CA 92025
- Reassigned Medicare billing, California enrollment
- 332 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92105
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 Shantrice Williams's NPI number?
The NPI number for Shantrice Williams is 1578865549. It was assigned to this individual provider in the NPPES registry on November 24, 2010.
Where is Shantrice Williams located?
Shantrice Williams practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 564-7017.
What is Shantrice Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shantrice Williams enrolled in Medicare?
Yes. Shantrice Williams is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shantrice Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shantrice Williams reassigns Medicare benefits to Neighborhood Healthcare (Escondido, CA). 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 Shantrice 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 Shantrice Williams was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ms. Shantrice Marseille Williams, F.N.P. · NPI 1578865549
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since November 24, 2010.
## Identity
- **NPI:** 1578865549 (Entity type: Individual)
- **Enumerated:** November 24, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 19664 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4060 FAIRMOUNT AVE, San Diego, CA 92105-1608
- **Phone:** (619) 564-7017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Neighborhood Healthcare (NPI 1598703647, Escondido, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1578865549) · Data from the CMS NPPES public registry.