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WILLIAM PHILLIPS
NPI 1982200515
Nurse Practitioner - Psychiatric/Mental Health in Elyria, OH

Active since December 09, 2020PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
630 E RIVER ST, ELYRIA, OH 44035(440) 329-7596 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2021, Dec 9, 2020 (2 updates tracked since 2020).

About William Phillips NPPES

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

WILLIAM PHILLIPS (NPI 1982200515) is an individual psychiatric/mental health provider in Elyria, Ohio, licensed in Ohio (APRN.CNP.0028421) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with University Hospitals - Elyria Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1982200515
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameWILLIAM PHILLIPS
Location Address630 E RIVER STElyria, OH 44035-5902
Mailing Address3452 Tuttle AveCleveland, OH 44111-3027
Phone(440) 329-7596
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 9, 2020
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1982200515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0028421
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN.456208 (OH)
630 E RIVER ST, Elyria, OH 44035
Open in Google Maps ↗

Other Identifiers 2

OtherAPRN.CNP.0028421OH · Aprn License
OtherRN.456208OH · Rn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual 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 and accepts Medicare assignment

William Phillips 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 ID9032526124
PECOS Enrollment IDI20210408001193
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

JESSICA ANNE YAGER
Nurse Anesthetist, Certified Registered
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 323-8515
BRETZYL M LISCOE
Nurse Practitioner (Critical Care Medicine)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 323-8515
WILLIAM BROWN
Physician Assistant
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 326-5414
MARY LAURETTA GILCHRIST
Nurse Practitioner (Family)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
MS. AMY M. KING NP
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
DR. ALLAN F STARR MD
Emergency Medicine
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
DR. KALVA S. REDDY M.D.
Anesthesiology
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
AMY M KOVALSKY RN, CNP
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500

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 William Phillips's NPI number?

The NPI number for William Phillips is 1982200515. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is William Phillips located?

William Phillips practices at 630 E River St, Elyria, OH 44035. The listed phone number is (440) 329-7596.

What is William Phillips's specialty?

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

Is William Phillips enrolled in Medicare?

Yes. William Phillips 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 William Phillips accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list William Phillips 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.

Is William Phillips affiliated with any hospitals?

According to CMS data, William Phillips is affiliated with University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for William Phillips was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.