AMANDA J WILLIAMS PA-C
NPI 1629321914
Physician Assistant in Lake Forest, IL

Q: What is Amanda Williams's NPI number?

The NPI number for Amanda Williams is 1629321914. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Q: What is Amanda Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Williams was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since October 24, 2012PECOS EnrolledAccepts Medicare Assignment

1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045(847) 582-2134(847) 535-7285 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda J Williams Pa-c NPPES

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

AMANDA J WILLIAMS PA-C (NPI 1629321914) is an individual physician assistant in Lake Forest, Illinois, licensed in Illinois (085005099) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629321914

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA J WILLIAMSCredential: PA-C

Location Address1000 N WESTMORELAND RD # LEVEL1Lake Forest, IL 60045-1658

Mailing Address1000 N Westmoreland Rd # Level1Lake Forest, IL 60045-1658 · (847) 582-2134 · Fax (847) 535-7285

Phone(847) 582-2134

Fax(847) 535-7285

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 24, 2012

Last NPPES UpdateOctober 8, 2025

NPPES CertifiedOctober 8, 2025

✔ NPI 1629321914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085005099✔ Licensed in MI · 5601006509

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1000 N WESTMORELAND RD # LEVEL1, Lake Forest, IL 60045

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Other Identifiers 1

Medicaid1629321914MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda J Williams Pa-c 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 ID4082868047

PECOS Enrollment IDI20141002002178

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.

Hospital Affiliations CMS Care Compare

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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 20

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

MICHAEL J KELLER M.D.

Internal Medicine (Pulmonary Disease)