SHENETTA LATRICE WILLIAMS FNP
NPI 1780464560
Nurse Practitioner - Family in Clarksdale, MS

Active since September 29, 2023PECOS EnrolledAccepts Medicare Assignment
619 S STATE ST, CLARKSDALE, MS 38614(662) 966-1012 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shenetta Latrice Williams Fnp NPPES

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

SHENETTA LATRICE WILLIAMS FNP (NPI 1780464560) is an individual family provider in Clarksdale, Mississippi, licensed in Mississippi (906164) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780464560
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHENETTA LATRICE WILLIAMSCredential: FNP
Location Address619 S STATE STClarksdale, MS 38614-6319
Mailing Address81 Bledsoe StGrenada, MS 38901-3711 · (662) 809-1277
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1780464560 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 MS · 906164
619 S STATE ST, Clarksdale, MS 38614

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

Shenetta Latrice Williams Fnp 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 ID2668828518
PECOS Enrollment IDI20231027003453
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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
114 services52 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
71 services66 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
51 services47 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38614 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 5

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

Clinic/Center (Rural Health)
619 S STATE ST
CLARKSDALE, MS 38614
Nurse Practitioner
619 S STATE ST
CLARKSDALE, MS 38614
Nurse Practitioner (Family)
619 S STATE ST
CLARKSDALE, MS 38614
Nurse Practitioner (Family)
619 S STATE ST
CLARKSDALE, MS 38614
Nurse Practitioner (Family)
619 S STATE ST
CLARKSDALE, MS 38614

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 Shenetta Williams's NPI number?

The NPI number for Shenetta Williams is 1780464560. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Shenetta Williams located?

Shenetta Williams practices at 619 S State St, Clarksdale, MS 38614. The listed phone number is (662) 966-1012.

What is Shenetta Williams's specialty?

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

Is Shenetta Williams enrolled in Medicare?

Yes. Shenetta 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 Shenetta Williams accept?

Health plans from Molina Healthcare list Shenetta 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 Shenetta Williams was last updated on September 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.