JERRY LLOYD WILLIFORD NURSE PRACTITIONER
NPI 1669060034
Nurse Practitioner in Shreveport, LA

Active since January 01, 2021PECOS EnrolledAccepts Medicare Assignment
850 OLIVE ST STE A, SHREVEPORT, LA 71104(318) 239-4860(805) 295-4715 Get Directions Write a Review

NPPES record last updated: January 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Lloyd Williford Nurse Practitioner NPPES

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

JERRY LLOYD WILLIFORD NURSE PRACTITIONER (NPI 1669060034) is an individual nurse practitioner in Shreveport, Louisiana, licensed in Louisiana (211128) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Sagewest Health Care, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669060034
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJERRY LLOYD WILLIFORDCredential: NURSE PRACTITIONER
Location Address850 OLIVE ST STE AShreveport, LA 71104-2162
Mailing AddressPo Box 4506Shreveport, LA 71134-0506 · (318) 239-4860 · Fax (805) 295-4715
Fax(805) 295-4715
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 1, 2021
NPPES CertifiedJanuary 1, 2021
NPI 1669060034 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 LA · 211128
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.

850 OLIVE ST STE A, Shreveport, LA 71104

Accepted Insurance

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

Jerry Lloyd Williford Nurse Practitioner 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 ID5092128330
PECOS Enrollment IDI20251023001176
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.

Sagewest Health Care

Acute Care Hospitals · Riverton, WY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number530008
Location2100 W Sunset DrRiverton, WY 82501 · Fremont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71104 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
850 OLIVE ST STE A
SHREVEPORT, LA 71104
Internal Medicine (Hematology & Oncology)
850 OLIVE ST STE A
SHREVEPORT, LA 71104
Nurse Practitioner (Family)
850 OLIVE ST STE A
SHREVEPORT, LA 71104
Nurse Practitioner (Family)
850 OLIVE ST STE A
SHREVEPORT, LA 71104
Clinical Medical Laboratory
850 OLIVE ST STE A
SHREVEPORT, LA 71104
Clinical Medical Laboratory
850 OLIVE ST STE A
SHREVEPORT, LA 71104

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 Jerry Williford's NPI number?

The NPI number for Jerry Williford is 1669060034. It was assigned to this individual provider in the NPPES registry on January 1, 2021.

Where is Jerry Williford located?

Jerry Williford practices at 850 Olive St Ste A, Shreveport, LA 71104. The listed phone number is (318) 239-4860.

What is Jerry Williford's specialty?

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

Is Jerry Williford enrolled in Medicare?

Yes. Jerry Williford 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.

What insurance does Jerry Williford accept?

Health plans from HMO Louisiana list Jerry Williford 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 Jerry Williford affiliated with any hospitals?

According to CMS data, Jerry Williford is affiliated with Sagewest Health Care.

When was this NPI record last updated?

The NPPES record for Jerry Williford was last updated on January 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.