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MRS. KELLIE A. WILLIAMS APRN
NPI 1710549258
Nurse Practitioner - Family in Newport Beach, CA

Active since July 04, 2019PECOS EnrolledAccepts Medicare Assignment
500 SUPERIOR AVE STE 305, NEWPORT BEACH, CA 92663(949) 644-2722(949) 650-3135 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Aug 20, 2019, Aug 15, 2019 and 1 more (4 updates tracked since 2019).

About Mrs. Kellie A. Williams Aprn NPPES

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

MRS. KELLIE A. WILLIAMS APRN (NPI 1710549258) is an individual family provider in Newport Beach, California, licensed in California (95036842) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710549258
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLIE A. WILLIAMSCredential: APRN
Location Address500 SUPERIOR AVE STE 305Newport Beach, CA 92663-3660
Mailing Address500 Superior Ave Ste 305Newport Beach, CA 92663-3660 · (949) 644-2722 · Fax (949) 650-3135
Phone(949) 644-2722
Fax(949) 650-3135
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 4, 2019
Last NPPES UpdateDecember 19, 20254 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1710549258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95036842
500 SUPERIOR AVE STE 305, Newport Beach, CA 92663
Open in Google Maps ↗

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

Mrs. Kellie A. Williams Aprn 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 ID9133450190
PECOS Enrollment IDI20260216002964
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

WOMEN'S HEALTH 360, LLC
Nurse Practitioner (Obstetrics & Gynecology)
500 SUPERIOR AVE STE 305
NEWPORT BEACH, CA 92663
Orange County (949) 644-2722
DR. ANTONIO JAVIER COVARRUBIAS M.D.
Surgery (Vascular Surgery)
500 SUPERIOR AVE STE 305
NEWPORT BEACH, CA 92663
Orange County (949) 764-8960

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 Kellie Williams's NPI number?

The NPI number for Kellie Williams is 1710549258. It was assigned to this individual provider in the NPPES registry on July 4, 2019.

Where is Kellie Williams located?

Kellie Williams practices at 500 Superior Ave Ste 305, Newport Beach, CA 92663. The listed phone number is (949) 644-2722.

What is Kellie Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kellie Williams enrolled in Medicare?

Yes. Kellie 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.

When was this NPI record last updated?

The NPPES record for Kellie Williams was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.