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MS. AUTUMN DAWN WILLIAMS APRN
NPI 1619438413
Nurse Practitioner in Charlotte, NC

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
10905 PROVIDENCE RD W, STE 150, CHARLOTTE, NC 28277(980) 302-7120(980) 302-7125 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Aug 20, 2021, Oct 26, 2020 and 1 more (4 updates tracked since 2019).

About Ms. Autumn Dawn Williams Aprn NPPES

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

MS. AUTUMN DAWN WILLIAMS APRN (NPI 1619438413) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5011541) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619438413
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. AUTUMN DAWN WILLIAMSCredential: APRN
Location Address10905 PROVIDENCE RD W, STE 150Charlotte, NC 28277-1538
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(980) 302-7120
Fax(980) 302-7125
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2019
Last NPPES UpdateNovember 3, 20234 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1619438413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5011541
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10905 PROVIDENCE RD W, Charlotte, NC 28277
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Ms. Autumn Dawn Williams Aprn 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 ID9638403033
PECOS Enrollment IDI20190618002635
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 Autumn Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Hospice and Palliative Medicine
10905 PROVIDENCE ROAD W
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1174202170 (704) 384-6478
The Presbyterian Hospital
1.5 mi
Internal Medicine
14135 BALLANTYNE CORPORATE PL STE 200
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
NPI 1104600543 (704) 316-2670

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
134 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services14 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number340195
Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 12

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

MELISSA ANNE BENSON AGPCNP
Nurse Practitioner
10905 PROVIDENCE RD W, STE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900
DR. JAKE HAMILTON BAYLESS DO
Hospitalist
10905 PROVIDENCE RD W, STE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900
SARAH KATHRYN BAGLEY PA-C
Physician Assistant
10905 PROVIDENCE RD W, STE 270
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-3410
BRENT DANIEL PURDY
Respiratory Therapist, Certified
10905 PROVIDENCE RD W
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4000
PEARL OPOKUA NYANOR NP
Nurse Practitioner
10905 PROVIDENCE RD W, SUITE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900
MR. LUIS MARIO ARMADA JR. FNP-C
Nurse Practitioner
10905 PROVIDENCE RD W
CHARLOTTE, NC 28277
Mecklenburg County (704) 384-6478
BERITA BANDA
Student in an Organized Health Care Education/Training Program
10905 PROVIDENCE RD W, WOMENS SERVICES
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4000
NOVANT HEALTH BALLANTYNE MEDICAL CENTER LLC
General Acute Care Hospital
10905 PROVIDENCE RD W
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4000

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 Autumn Williams's NPI number?

The NPI number for Autumn Williams is 1619438413. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Autumn Williams located?

Autumn Williams practices at 10905 Providence Rd W Ste 150, Charlotte, NC 28277. The listed phone number is (980) 302-7120.

What is Autumn Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Autumn Williams enrolled in Medicare?

Yes. Autumn 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 Autumn Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Williams reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Charlotte, NC) and The Presbyterian Hospital (Charlotte, NC). 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 Autumn Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Williams accept?

Health plans from Blue Cross and Blue Shield of NC list Autumn 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.

Is Autumn Williams affiliated with any hospitals?

According to CMS data, Autumn Williams is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center and Novant Health Ballantyne Medical Center.

When was this NPI record last updated?

The NPPES record for Autumn Williams was last updated on November 3, 2023. 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.