MR. RODERICK JEROME WILLIAMS PMHNP
NPI 1861917882
Nurse Practitioner - Psychiatric/Mental Health in Longview, WA

Active since August 10, 2017PECOS EnrolledAccepts Medicare Assignment
600 BROADWAY ST, LONGVIEW, WA 98632(360) 414-2236 Get Directions Write a Review

NPPES record last updated: October 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2018, May 15, 2018, Aug 10, 2017 (3 updates tracked since 2017).

About Mr. Roderick Jerome Williams Pmhnp NPPES

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

MR. RODERICK JEROME WILLIAMS PMHNP (NPI 1861917882) is an individual psychiatric/mental health provider in Longview, Washington, licensed in Washington (AP60853251) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fargo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861917882
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RODERICK JEROME WILLIAMSCredential: PMHNP
Location Address600 BROADWAY STLongview, WA 98632-3256
Mailing Address3230 Seter Pkwy S Apt 201Fargo, ND 58104-7822 · (601) 335-5988
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 10, 2017
Last NPPES UpdateOctober 20, 20183 updates tracked since enumeration
NPI 1861917882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in WA · AP60853251 Licensed in ND · R44293
600 BROADWAY ST, Longview, WA 98632

Secondary Practice Location 1

Location 1510 4th St SFargo, ND 58103 · Phone (701) 476-7200 ext. 208

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

Mr. Roderick Jerome Williams Pmhnp 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 ID941575484
PECOS Enrollment IDI20211228002061
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services31 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
95 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632

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 Roderick Williams's NPI number?

The NPI number for Roderick Williams is 1861917882. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Where is Roderick Williams located?

Roderick Williams practices at 600 Broadway St, Longview, WA 98632. The listed phone number is (360) 414-2236.

What is Roderick Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roderick Williams enrolled in Medicare?

Yes. Roderick 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 Roderick Williams accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Roderick 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 Roderick Williams was last updated on October 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.