KIMBERLY NICOLE WILLIAMS APRN, FNP-C
NPI 1639693864
Nurse Practitioner - Family in East Grand Forks, MN
About Kimberly Nicole Williams Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY NICOLE WILLIAMS APRN, FNP-C (NPI 1639693864) is an individual family provider in East Grand Forks, Minnesota, licensed in Minnesota (6326) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Nicole Williams Aprn, Fnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Grand Forks, MN 56721
- Reassigned Medicare billing, Minnesota enrollment
- 3 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 56721 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST GRAND FORKS, MN 56721
EAST GRAND FORKS, MN 56721
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 1639693864. It was assigned to this individual provider in the NPPES registry on July 31, 2017. The provider is also known as Kimberly Nicole Garnett.
Where is Kimberly Williams located?
Kimberly Williams practices at 210 Gateway Dr NE Ste 1, East Grand Forks, MN 56721. The listed phone number is (218) 207-2020.
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 organization bills Medicare for Kimberly Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Williams reassigns Medicare benefits to Balm Of Gilead Healthcare Clinic LLC (East Grand Forks, MN). 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 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 Blue Cross Blue Shield of North Dakota and Sanford Health Plan 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 July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kimberly Nicole Williams, APRN, FNP-C · NPI 1639693864
Family physician in East Grand Forks, Minnesota. Individual provider, active in the CMS NPPES registry since July 31, 2017.
## Identity
- **NPI:** 1639693864 (Entity type: Individual)
- **Enumerated:** July 31, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6326 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 210 GATEWAY DR NE STE 1, East Grand Forks, MN 56721-1621
- **Phone:** (218) 207-2020
## 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:** Balm Of Gilead Healthcare Clinic LLC (NPI 1154022895, East Grand Forks, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639693864) · Data from the CMS NPPES public registry.