Nikita Blakeney-williams, FNP-C in Charlotte, NC

Nikita Blakeney-williams, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Charlotte, North Carolina. Her current practice location is 4401 E Independence Blvd Ste 208f, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 402-4668.

Nikita Blakeney-williams is licensed to practice in North Carolina (license number 5021996) 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 1770382533.

Contact Information

	Nikita Blakeney-williams, FNP-C
	4401 E Independence Blvd Ste 208f, Charlotte, NC 28205-7485
	(980) 402-4668
	(888) 830-9448

Map and Direction

Provider's Profile

Full Name	Nikita Blakeney-williams
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	4401 E Independence Blvd Ste 208f, Charlotte, 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: 1770382533
Provider Enumeration Date: 03/12/2025
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5799941266
Enrollment ID: I20250514003046

Medical Identifiers

Medical identifiers for Nikita Blakeney-williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770382533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	30104 (South Carolina)	Secondary
363L00000X	Nurse Practitioner	30104 (South Carolina)	Secondary
364SC1501X	Clinical Nurse Specialist - Community Health/public Health	207581 (South Carolina)	Secondary
364SL0600X	Clinical Nurse Specialist - Long-term Care	207581 (South Carolina)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	5021996 (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. Nikita Blakeney-williams allows following entities to bill medicare on her behalf.

Entity Name	Renew Wound Care Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154087864 PECOS PAC ID: 1153711940 Enrollment ID: O20211210000246

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. Nikita Blakeney-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
Nikita Blakeney-williams, FNP-C Po Box 37054, Rock Hill, SC 29732-0517 Ph: () -	Nikita Blakeney-williams, FNP-C 4401 E Independence Blvd Ste 208f, Charlotte, NC 28205-7485 Ph: (980) 402-4668

Reviews and Comments

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Nikita Blakeney-williams, FNP-C - Medicare Nurse Practitioner in Charlotte, NC