Jacqualine Williams, - Medicare Nurse Practitioner in Anderson, IN

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Jacqualine Williams, is a medicare enrolled "Nurse Practitioner" in Anderson, Indiana. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Open Door Health Services Inc, Community Physician Network Urgent Care Llc and her current practice location is 3125 S Scatterfield Rd, Anderson, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 298-4903.

Jacqualine Williams is licensed to practice in Indiana (license number 71012183A) 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 1033863857.

Contact Information

Jacqualine Williams,
3125 S Scatterfield Rd,
Anderson, IN 46013-1802
(765) 298-4903
Not Available

Map and Direction




Provider's Profile

Full NameJacqualine Williams
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3125 S Scatterfield Rd, Anderson, Indiana
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:
  • Jacqualine Williams graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1033863857
  • Provider Enumeration Date: 02/10/2022
  • Last Update Date: 01/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8921492836
  • Enrollment ID: I20220218000436

Medical Identifiers

Medical identifiers for Jacqualine Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033863857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71012183A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Ball Memorial HospitalMuncie, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Open Door Health Services Inc589069660340
Community Physician Network Urgent Care Llc105281986980

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. Jacqualine Williams allows following entities to bill medicare on her behalf.
Entity NameIndiana University Health Ball Memorial Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235455544
PECOS PAC ID: 9537072640
Enrollment ID: O20031110000505
Entity NameOpen Door Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770510240
PECOS PAC ID: 5890696603
Enrollment ID: O20040115000592
Entity NamePic Indiana PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942546890
PECOS PAC ID: 3476790239
Enrollment ID: O20130515000110
Entity NameCommunity Physician Network Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487444782
PECOS PAC ID: 1052819869
Enrollment ID: O20250811003707

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. Jacqualine 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
Jacqualine Williams,
6626 E 75th St Ste 500,
Indianapolis, IN 46250-2890

Ph: Not Available		Jacqualine Williams,
3125 S Scatterfield Rd,
Anderson, IN 46013-1802

Ph: (765) 298-4903

Reviews and Comments


Nurse Practitioner Nurses in Anderson, IN

Nora D Mitiche, NP
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Practice Location: 1030 S Scatterfield Rd, Anderson, IN 46012
Phone: 765-644-5025    Fax: 765-643-4534
Mrs. Christina Lynn Bennett, CNM
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Practice Location: 1931 Brown St, Anderson, IN 46016
Phone: 765-646-8247    
Heather Lane, FNP-C
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Practice Location: 1547 Ohio Ave, Anderson, IN 46016
Phone: 765-641-7499    
Francisca Moura-souchet, NP
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Practice Location: 1728 Williams Way E, Anderson, IN 46011
Phone: 765-617-8398    
Stephanie Sciaudone, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 215 W 19th St, Anderson, IN 46016
Phone: 765-393-3891    Fax: 765-393-3892
Jessica D Bode,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1130 Medical Arts Blvd Ste 250, Anderson, IN 46011
Phone: 765-298-4282    Fax: 765-298-4989
Theresa Neff, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2610 Enterprise Dr., Anderson, IN 46013
Phone: 765-683-4400    Fax: 765-642-7903

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.