MR. BRENNAN WILLIAMS CPNP-DUAL
NPI 1861911372
Nurse Practitioner - Pediatrics, Critical Care in Jackson, MS

Q: What is Brennan Williams's NPI number?

The NPI number for Brennan Williams is 1861911372. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Q: What is Brennan Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Brennan Williams was last updated on September 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 15, 2017PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 815-8151 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2017, Sep 15, 2017 (2 updates tracked since 2017).

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About Mr. Brennan Williams Cpnp-dual NPPES

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

MR. BRENNAN WILLIAMS CPNP-DUAL (NPI 1861911372) is an individual pediatrics, critical care provider in Jackson, Mississippi, licensed in Mississippi (902321) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861911372

Entity TypeIndividualMale

Primary Taxonomy363LP0222X

Provider Legal NameMR. BRENNAN WILLIAMSCredential: CPNP-DUAL

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500

Phone(601) 815-8151

Sole ProprietorYes

Enumeration DateSeptember 15, 2017

Last NPPES UpdateSeptember 20, 20172 updates tracked since enumeration

✔ NPI 1861911372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in MS · 902321

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brennan Williams Cpnp-dual is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 39216 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.

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Other Providers at the Same Location NPPES 20

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

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