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MR. CHARLES IOKEPA WILLIAMS NP-C
NPI 1659625879
Nurse Practitioner - Adult Health in St. Louis Park, MN

Active since November 09, 2012PECOS Enrolled
1660 HWY 100 SOUTH, SUITE 145, ST. LOUIS PARK, MN 55416(952) 456-6160(952) 456-6184 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Charles Iokepa Williams Np-c NPPES

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

MR. CHARLES IOKEPA WILLIAMS NP-C (NPI 1659625879) is an individual adult health provider in St. Louis Park, Minnesota, licensed in Minnesota (R166936-9) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1659625879
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. CHARLES IOKEPA WILLIAMSCredential: NP-C
Location Address1660 HWY 100 SOUTH, SUITE 145St. Louis Park, MN 55416-1562
Mailing Address1660 Highway 100 South, Suite 145St. Louis Park, MN 55416-1562 · (952) 456-6160 · Fax (952) 456-6184
Phone(952) 456-6160
Fax(952) 456-6184
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 9, 2012
Last NPPES UpdateApril 19, 2013
✔ NPI 1659625879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MN · R166936-9✔ Licensed in MN · 166936-9
1660 HWY 100 SOUTH, St. Louis Park, MN 55416
Open in Google Maps ↗

Other Identifiers 2

OtherC09271MN · Medicare Group Ptan
Other500008394MN · Medical Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Iokepa Williams Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749425189
PECOS Enrollment IDI20251203003525
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 Charles Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elite Therapy Institute LLC
86 mi
Physical Therapy
1801 W KNAPP ST, SUITE 4
Rice Lake, WI 54868
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
NPI 1760576789 (715) 736-4384
Community Care Health Network LLC
698 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Ohio enrollment
  • 271 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627
Matrix Medical Plus
698 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Minnesota enrollment
  • 126 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

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 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 Charles Williams's NPI number?

The NPI number for Charles Williams is 1659625879. It was assigned to this individual provider in the NPPES registry on November 9, 2012.

Where is Charles Williams located?

Charles Williams practices at 1660 Hwy 100 South Suite 145, St. Louis Park, MN 55416. The listed phone number is (952) 456-6160.

What is Charles Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Charles Williams enrolled in Medicare?

Yes. Charles Williams is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Williams reassigns Medicare benefits to 3 organizations: Elite Therapy Institute LLC (Rice Lake, WI), Community Care Health Network LLC (Nashville, TN) and Matrix Medical Plus (Nashville, TN). 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 Charles Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Williams accept?

Health plans from CareSource list Charles 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 Charles Williams was last updated on April 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.