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ELLEN PETERS WILLIAMS NP
NPI 1639745904
Nurse Practitioner - Psychiatric/Mental Health in Brandon, MS

Active since May 27, 2021PECOS EnrolledAccepts Medicare Assignment
1896 HIGHWAY 471, BRANDON, MS 39047(601) 665-4162 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellen Peters Williams Np NPPES

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

ELLEN PETERS WILLIAMS NP (NPI 1639745904) is an individual psychiatric/mental health provider in Brandon, Mississippi, licensed in Mississippi (904635) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639745904
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELLEN PETERS WILLIAMSCredential: NP
Location Address1896 HIGHWAY 471Brandon, MS 39047-7964
Mailing Address365 Creekside DrCherokee, AL 35616-6339 · (256) 412-1344
Phone(601) 665-4162
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1639745904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 904635
1896 HIGHWAY 471, Brandon, MS 39047
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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

Ellen Peters Williams Np 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 ID9830538925
PECOS Enrollment IDI20240423001147
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

3

Medicare enrollment records show Ellen Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minor Med Care, LLC
18 mi
Primary Care
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
NPI 1407968738 (601) 372-1117
Mdb Behavioral Health Services LLC
52 mi
Rural Health
1911 MISSION 66 STE B
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 180 clinicians in this Medicare group
NPI 1669835310 (601) 665-4162
Uppal Medical Center LLC
95 mi
Rural Health
1727 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 164 clinicians in this Medicare group
NPI 1558927905 (662) 577-6673

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 39047 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Ellen Williams's NPI number?

The NPI number for Ellen Williams is 1639745904. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Ellen Williams located?

Ellen Williams practices at 1896 Highway 471, Brandon, MS 39047. The listed phone number is (601) 665-4162.

What is Ellen Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ellen Williams enrolled in Medicare?

Yes. Ellen 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 Ellen Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Williams reassigns Medicare benefits to 3 organizations: Minor Med Care, LLC (Jackson, MS), Mdb Behavioral Health Services LLC (Vicksburg, MS) and Uppal Medical Center LLC (Greenville, MS). 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 Ellen 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 Ellen Williams was last updated on May 27, 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.