MRS. KELLY BETH WILLIAMS FNP
NPI 1861939266
Nurse Practitioner in Mooresville, NC
About Mrs. Kelly Beth Williams Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY BETH WILLIAMS FNP (NPI 1861939266) is an individual nurse practitioner in Mooresville, North Carolina, licensed in North Carolina (5009164) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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. Kelly Beth 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 Reassignments
2Medicare enrollment records show Kelly Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Charlotte, NC 28226
- Reassigned Medicare billing, North Carolina enrollment
- 157 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28117 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 3
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 Kelly Williams's NPI number?
The NPI number for Kelly Williams is 1861939266. It was assigned to this individual provider in the NPPES registry on January 23, 2017.
Where is Kelly Williams located?
Kelly Williams practices at 133 Welton Way Suite C, Mooresville, NC 28117. The listed phone number is (704) 664-2552.
What is Kelly Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Williams enrolled in Medicare?
Yes. Kelly 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 organizations bill Medicare for Kelly Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Williams reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Mooresville, NC) and Arboretum Urgent Care Center (Charlotte, NC). Each 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 Kelly Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Williams accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kelly 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 Kelly Williams was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mrs. Kelly Beth Williams, FNP · NPI 1861939266
Nurse Practitioner physician in Mooresville, North Carolina. Individual provider, active in the CMS NPPES registry since January 23, 2017.
## Identity
- **NPI:** 1861939266 (Entity type: Individual)
- **Enumerated:** January 23, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5009164 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 133 WELTON WAY, SUITE C, Mooresville, NC 28117-9163
- **Phone:** (704) 664-2552
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1477891810, Mooresville, NC); Arboretum Urgent Care Center (NPI 1457380313, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 4, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1861939266) · Data from the CMS NPPES public registry.