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TINA WILLIAMS FNP-BC
NPI 1750965695
Nurse Practitioner - Family in Boise, ID

Active since May 06, 2021PECOS Enrolled
4110 W GUARD ST, BOISE, ID 83705(208) 272-3735 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2021, May 6, 2021 (2 updates tracked since 2021).

About Tina Williams Fnp-bc NPPES

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

TINA WILLIAMS FNP-BC (NPI 1750965695) is an individual family provider in Boise, Idaho, licensed in Idaho (68129) 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

NPI1750965695
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA WILLIAMSCredential: FNP-BC
Location Address4110 W GUARD STBoise, ID 83705-8048
Mailing Address4110 W Guard StBoise, ID 83705-8048
Phone(208) 272-3735
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 6, 2021
Last NPPES UpdateMay 14, 20212 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1750965695 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 ID · 68129
4110 W GUARD ST, Boise, ID 83705
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Other Names 1

Former Name (1)Tina Pittman

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Williams Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789031394
PECOS Enrollment IDI20260216000767
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 83705 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 Tina Williams's NPI number?

The NPI number for Tina Williams is 1750965695. It was assigned to this individual provider in the NPPES registry on May 6, 2021. The provider is also known as Tina Pittman.

Where is Tina Williams located?

Tina Williams practices at 4110 W Guard St, Boise, ID 83705. The listed phone number is (208) 272-3735.

What is Tina Williams's specialty?

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

Is Tina Williams enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tina Williams was last updated on May 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.