MRS. RASHEDA JORDAN WILLIAMS FNP
NPI 1790072288
Nurse Practitioner - Family in Jackson, MS
About Mrs. Rasheda Jordan Williams Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. RASHEDA JORDAN WILLIAMS FNP (NPI 1790072288) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (864253) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Merit Health Central, and maintains a secondary practice location in Jackson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Rasheda Jordan 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.
Medicare Billing Reassignment
Medicare enrollment records show Rasheda Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39211
- Reassigned Medicare billing, Mississippi enrollment
- 27 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Merit Health Central
Acute Care Hospitals · Jackson, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Rasheda Williams's NPI number?
The NPI number for Rasheda Williams is 1790072288. It was assigned to this individual provider in the NPPES registry on July 5, 2011.
Where is Rasheda Williams located?
Rasheda Williams practices at 4890 Highway 18 W, Jackson, MS 39209. The listed phone number is (601) 301-5385.
What is Rasheda Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rasheda Williams enrolled in Medicare?
Yes. Rasheda 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.
Which organization bills Medicare for Rasheda Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rasheda Williams reassigns Medicare benefits to Centerwell Senior Primary Care Ms PC (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rasheda Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Rasheda Williams affiliated with any hospitals?
According to CMS data, Rasheda Williams is affiliated with Merit Health Central.
When was this NPI record last updated?
The NPPES record for Rasheda Williams was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Rasheda Jordan Williams, FNP · NPI 1790072288
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 5, 2011.
## Identity
- **NPI:** 1790072288 (Entity type: Individual)
- **Enumerated:** July 5, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 864253 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4890 HIGHWAY 18 W, Jackson, MS 39209-9666
- **Phone:** (601) 301-5385 · **Fax:** (877) 866-2356
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centerwell Senior Primary Care Ms PC (NPI 1710693619, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 8, 2026
- **Other identifiers:** Medicaid 09383254 (MS); Other R864253 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1790072288) · Data from the CMS NPPES public registry.