Kelly Ann Williams, FNP-BC - Medicare Nurse Practitioner in Harbor City, CA

Kelly Ann Williams, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Harbor City, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1050 Pacific Coast Hwy, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (424) 328-2689.

Kelly Ann Williams is licensed to practice in California (license number 95000585) 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 1972844371.

Contact Information

Kelly Ann Williams, FNP-BC
1050 Pacific Coast Hwy,
Harbor City, CA 90710-3509
(424) 328-2689
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ann Williams
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1050 Pacific Coast Hwy, Harbor City, California
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:
  • Kelly Ann Williams graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1972844371
  • Provider Enumeration Date: 03/09/2013
  • Last Update Date: 12/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042438822
  • Enrollment ID: I20140820002708

Medical Identifiers

Medical identifiers for Kelly Ann Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972844371NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 657411-1 (New York)Secondary
163W00000XRegistered Nurse 852291 (California)Secondary
363LF0000XNurse Practitioner - Family 95000585 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

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. Kelly Ann Williams allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881763597
PECOS PAC ID: 4284547274
Enrollment ID: O20031106000389
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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. Kelly Ann 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
Kelly Ann Williams, FNP-BC
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: () -
Kelly Ann Williams, FNP-BC
1050 Pacific Coast Hwy,
Harbor City, CA 90710-3509

Ph: (424) 328-2689

Reviews and Comments


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Renee D Wright, NP
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Michelle Neal, NP
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Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Janice M Boyk, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    

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.