Kimberly Sue Williams, FNP - Medicare Nurse Practitioner in Tigard, OR

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Kimberly Sue Williams, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Tigard, Oregon. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-0700.

Kimberly Sue Williams is licensed to practice in Oregon (license number 201393029NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578870069.

Contact Information

Kimberly Sue Williams, FNP
18040 Sw Lower Boones Ferry Rd, Suite 100,
Tigard, OR 97224-7258
(503) 216-0700
(503) 216-0750

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Physician's Profile

Full NameKimberly Sue Williams
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location18040 Sw Lower Boones Ferry Rd, Tigard, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Sue Williams graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1578870069
  • Provider Enumeration Date: 09/07/2010
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3476781055
  • Enrollment ID: I20140417002086

Medical Identifiers

Medical identifiers for Kimberly Sue Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578870069NPI-NPPES
P01404411OtherORRR MEDICARE - PH&S
NP19924OtherCACA. BOARD OF NURSING
500667975MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology NP19924 (California)Secondary
208000000XPediatrics NP19924 (California)Secondary
363L00000XNurse Practitioner NP19924 (California)Secondary
363LF0000XNurse Practitioner - Family 201393029NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081328

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Sue Williams allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153
Entity NameEmergency Medical Associates Of Mcminnville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629022876
PECOS PAC ID: 3870585920
Enrollment ID: O20040331000355
Entity NameExpress Care Or Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205499126
PECOS PAC ID: 1254768732
Enrollment ID: O20200311001372

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Sue Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Sue Williams, FNP
Po Box 3158,
Portland, OR 97208-3158

Ph: () -		Kimberly Sue Williams, FNP
18040 Sw Lower Boones Ferry Rd, Suite 100,
Tigard, OR 97224-7258

Ph: (503) 216-0700

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.