Nicole Williams, CRNA in Lumberton, NC - Medicare Nurse Anesthetist, Certified Registered

Nicole Williams, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lumberton, North Carolina. Her current practice location is 300 W 27th St, Lumberton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 671-5000.

Nicole Williams is licensed to practice in North Carolina (license number 153000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699537969.

Contact Information

	Nicole Williams, CRNA
	300 W 27th St, Lumberton, NC 28358-3075
	(910) 671-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Williams
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	300 W 27th St, Lumberton, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699537969
Provider Enumeration Date: 01/23/2024
Last Update Date: 04/22/2025

Medicare PECOS Information:

PECOS PAC ID: 2860921376
Enrollment ID: I20250129001434

Medical Identifiers

Medical identifiers for Nicole Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699537969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	741019 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
367500000X	Nurse Anesthetist, Certified Registered	153000 (North Carolina)	Primary

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. Nicole Williams allows following entities to bill medicare on her behalf.

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209

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. Nicole 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 Address	Practice Location Address
Nicole Williams, CRNA 1405 Vergeland Dr, Hope Mills, NC 28348-7549 Ph: (715) 965-6009	Nicole Williams, CRNA 300 W 27th St, Lumberton, NC 28358-3075 Ph: (910) 671-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lumberton, NC

Amy L Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 843-661-6215
Charles A Woolley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000
Wanda C Untch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000
Jeffery Dale Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000
William Wieties, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 Fax: 910-738-3764
Bonnie G Britt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000
Grant Hoffman Joerger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-735-8176

Nicole Williams, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lumberton, NC