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MR. RODERICKUS WILLIAMS NP
NPI 1679965610
Nurse Practitioner - Psychiatric/Mental Health in Shreveport, LA

Active since February 27, 2015PECOS EnrolledAccepts Medicare Assignment
8930 BAYONNE DR, SHREVEPORT, LA 71118(318) 455-2898 Get Directions Write a Review

NPPES record last updated: August 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Roderickus Williams Np NPPES

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

MR. RODERICKUS WILLIAMS NP (NPI 1679965610) is an individual psychiatric/mental health provider in Shreveport, Louisiana, licensed in Louisiana (221798) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679965610
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RODERICKUS WILLIAMSCredential: NP
Location Address8930 BAYONNE DRShreveport, LA 71118-2033
Mailing Address9542 Lucien WayShreveport, LA 71106-3432 · (318) 455-2898
Phone(318) 455-2898
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 27, 2015
Last NPPES UpdateAugust 14, 2021
NPPES CertifiedAugust 14, 2021
✔ NPI 1679965610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in LA · 221798
Also ListedRegistered NurseTaxonomy 163W00000X · License 146918 (LA)
8930 BAYONNE DR, Shreveport, LA 71118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Mr. Roderickus 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 ID4284009051
PECOS Enrollment IDI20230408000015
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
93 services67 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
75 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71118 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.

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 Roderickus Williams's NPI number?

The NPI number for Roderickus Williams is 1679965610. It was assigned to this individual provider in the NPPES registry on February 27, 2015.

Where is Roderickus Williams located?

Roderickus Williams practices at 8930 Bayonne Dr, Shreveport, LA 71118. The listed phone number is (318) 455-2898.

What is Roderickus Williams's specialty?

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

Is Roderickus Williams enrolled in Medicare?

Yes. Roderickus 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.

What insurance does Roderickus Williams accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Roderickus 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 Roderickus Williams was last updated on August 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.