NICOLE MARIE WILLIAMS
NPI 1972244986
Emergency Medicine in Loma Linda, CA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4085 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Nicole Marie Williams NPPES

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

NICOLE MARIE WILLIAMS (NPI 1972244986) is an individual emergency medicine provider in Loma Linda, California, licensed in California (20A21587) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1972244986
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNICOLE MARIE WILLIAMS
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Gme Office Westerly Suite CLoma Linda, CA 92354-2804 · (909) 558-4085
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1972244986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · 20A21587
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11234 ANDERSON ST, Loma Linda, CA 92354

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

Nicole Marie Williams 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 ID9537676895
PECOS Enrollment IDI20250730002461, I20250730003827
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
11234 ANDERSON ST
Loma Linda, CA 92350
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Emergency Medicine
1798 N. GAREY AVENUE
Pomona, CA 91767
  • Reassigned Medicare billing, California enrollment
  • 1,204 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 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Nicole Williams's NPI number?

The NPI number for Nicole Williams is 1972244986. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Nicole Williams located?

Nicole Williams practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4085.

What is Nicole Williams's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicole Williams enrolled in Medicare?

Yes. Nicole 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 Nicole Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Williams reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Cep America - California (Pomona, CA). 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 Nicole Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Williams was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.