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SERENA M WILLIAMS FNP-C
NPI 1972301091
Nurse Practitioner - Family in Gloucester, VA

Active since March 05, 2025PECOS Enrolled
5659 PARKWAY DR STE 100, GLOUCESTER, VA 23061(804) 381-4361(804) 220-9405 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Mar 6, 2025 (2 updates tracked since 2025).

About Serena M Williams Fnp-c NPPES

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

SERENA M WILLIAMS FNP-C (NPI 1972301091) is an individual family provider in Gloucester, Virginia, licensed in Virginia (0024192820) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and maintains 16 additional practice locations.

NPPES Registry Identity

NPI1972301091
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSERENA M WILLIAMSCredential: FNP-C
Location Address5659 PARKWAY DR STE 100Gloucester, VA 23061-3792
Mailing Address5659 Parkway Dr Ste 100Gloucester, VA 23061-3792 · (804) 381-4361 · Fax (804) 220-9405
Phone(804) 381-4361
Fax(804) 220-9405
Sole ProprietorNo
Enumeration DateMarch 5, 2025
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1972301091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024192820
5659 PARKWAY DR STE 100, Gloucester, VA 23061
Open in Google Maps ↗

Secondary Practice Locations 16

Location 13745 Holland Rd Ste 100Virginia Beach, VA 23452-2866 · Phone (757) 395-1700 · Fax (757) 267-9086
Location 220209 Sentara Way Ste 100Carrollton, VA 23314-3573 · Phone (757) 772-6125 · Fax (757) 267-9196
Location 31944 Centerville Tpke Ste 100Virginia Beach, VA 23464-6839 · Phone (757) 362-9067 · Fax (833) 627-3753
Location 416422 Navigation DrWoodbridge, VA 22191-6502 · Phone (571) 297-1437 · Fax (571) 297-0855
Location 51326 E Little Creek RdNorfolk, VA 23518-3952 · Phone (757) 772-6122 · Fax (757) 267-9194
Location 62168 General Booth Blvd Ste 510Virginia Beach, VA 23454-5804 · Phone (757) 702-8122 · Fax (757) 702-2184
Location 71001 Centerbrooke Ln Ste 100Suffolk, VA 23434-8663 · Phone (757) 702-8105 · Fax (757) 702-2186
Location 8920 E High St Ste 102Charlottesville, VA 22902-4850 · Phone (434) 290-1226 · Fax (424) 442-4313
Location 9747 J Clyde Morris BlvdNewport News, VA 23601-1538 · Phone (757) 772-6121 · Fax (757) 267-9187
Location 103000 Coliseum DrHampton, VA 23666-5963 · Phone (757) 736-1000
Location 113841 Stone Spring RdRockingham, VA 22801-3897 · Phone (540) 346-6288 · Fax (540) 858-8786
Location 122859 Virginia Beach Blvd Ste 105Virginia Beach, VA 23452-7613 · Phone (757) 772-1623 · Fax (757) 267-9192
Location 133601 Old Halifax Rd Ste 100South Boston, VA 24592-4953 · Phone (434) 290-1225 · Fax (434) 471-4310
Location 146497 Centerville Rd Ste 300Williamsburg, VA 23188-2047 · Phone (757) 702-8107 · Fax (757) 794-8496
Location 157394 Harbour Towne Pkwy Ste 5Suffolk, VA 23435-3473 · Phone (757) 702-8116 · Fax (757) 922-1513
Location 167435 Granby StNorfolk, VA 23505-3406 · Phone (757) 702-8101 · Fax (757) 702-8101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena M Williams Fnp-c 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.

Medicare Billing Reassignments

2

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

Velocity Urgent Care, LLC
13 mi
Urgent Care
4374 NEW TOWN AVE
Williamsburg, VA 23188
  • Reassigned Medicare billing, Virginia enrollment
  • 121 clinicians in this Medicare group
NPI 1205350584 (757) 772-6124
Emergency Medicine Associates P.A., P.C.
109 mi
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
NPI 1134117393 (703) 776-4001

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 23061 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

MRS. RACHEL KATHRYN MARIE MIZELL ERTEL PA-C
Physician Assistant
5659 PARKWAY DR STE 100
GLOUCESTER, VA 23061
Gloucester County (804) 381-4361
HEATHER POE NP
Nurse Practitioner
5659 PARKWAY DR STE 100
GLOUCESTER, VA 23061
Gloucester County (804) 381-4361

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 Serena Williams's NPI number?

The NPI number for Serena Williams is 1972301091. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Serena Williams located?

Serena Williams practices at 5659 Parkway Dr Ste 100, Gloucester, VA 23061. The listed phone number is (804) 381-4361.

What is Serena Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Serena Williams enrolled in Medicare?

Yes. Serena Williams is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Serena Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serena Williams reassigns Medicare benefits to 2 organizations: Velocity Urgent Care, LLC (Williamsburg, VA) and Emergency Medicine Associates P.A., P.C. (Falls Church, VA). 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 Serena 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 Serena Williams was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.