KIMBERLY SUE WILLIAMS FNP
NPI 1578870069
Nurse Practitioner - Family in Tigard, OR
About Kimberly Sue Williams Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY SUE WILLIAMS FNP (NPI 1578870069) is an individual family provider in Tigard, Oregon, licensed in Oregon (201393029NP-PP) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 3
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
Kimberly Sue Williams Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kimberly Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tigard, OR 97224
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Mcminnville, OR 97128
- Reassigned Medicare billing, Oregon enrollment
- 21 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97224 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.
TIGARD, OR 97224
PORTLAND, OR 97224
TIGARD, OR 97224
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 Kimberly Williams's NPI number?
The NPI number for Kimberly Williams is 1578870069. It was assigned to this individual provider in the NPPES registry on September 7, 2010. The provider is also known as Kimberly Sue Tull Fnp.
Where is Kimberly Williams located?
Kimberly Williams practices at 18040 SW Lower Boones Ferry Rd Suite 100, Tigard, OR 97224. The listed phone number is (503) 216-0700.
What is Kimberly Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Williams enrolled in Medicare?
Yes. Kimberly Williams 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 Kimberly Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Williams reassigns Medicare benefits to 3 organizations: Providence Health & Services Oregon (Tigard, OR), Providence Health & Services - Oregon (Portland, OR) and Emergency Medical Associates Of Mcminnville (Mcminnville, OR). 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 Kimberly Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Williams accept?
Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Williams 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.
When was this NPI record last updated?
The NPPES record for Kimberly Williams was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kimberly Sue Williams, FNP · NPI 1578870069
Family physician in Tigard, Oregon. Individual provider, active in the CMS NPPES registry since September 7, 2010.
## Identity
- **NPI:** 1578870069 (Entity type: Individual)
- **Enumerated:** September 7, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201393029NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 18040 SW LOWER BOONES FERRY RD, SUITE 100, Tigard, OR 97224-7258
- **Phone:** (503) 216-0700 · **Fax:** (503) 216-0750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Oregon (NPI 1821224957, Tigard, OR); Providence Health & Services - Oregon (NPI 1114015971, Portland, OR); Emergency Medical Associates Of Mcminnville (NPI 1629022876, Mcminnville, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 25, 2021
- **Other identifiers:** Medicaid 500667975 (OR); Other P01404411 (OR); Other NP19924 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1578870069) · Data from the CMS NPPES public registry.