Mirenda Latisa Williams, AGNP-C - Medicare Nurse Practitioner in Hickory, NC

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Mirenda Latisa Williams, AGNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Hickory, North Carolina. 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 Eventus Wholehealth Pllc and her current practice location is 2365 Springs Rd Ne, Hickory, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 325-0950.

Mirenda Latisa Williams is licensed to practice in North Carolina (license number 5007484) 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 1801289368.

Contact Information

Mirenda Latisa Williams, AGNP-C
2365 Springs Rd Ne,
Hickory, NC 28601-3067
(828) 325-0950
(828) 325-0248

Map and Direction




Provider's Profile

Full NameMirenda Latisa Williams
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2365 Springs Rd Ne, Hickory, North Carolina
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:
  • Mirenda Latisa Williams graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1801289368
  • Provider Enumeration Date: 03/09/2015
  • Last Update Date: 03/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2668791393
  • Enrollment ID: I20150501000204

Medical Identifiers

Medical identifiers for Mirenda Latisa Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801289368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 5007484 (North Carolina)Primary
363LG0600XNurse Practitioner - Gerontology 5007484 (North Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eventus Wholehealth Pllc6002169539252

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. Mirenda Latisa Williams allows following entities to bill medicare on her behalf.
Entity NameQuality Surgical Management Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184808586
PECOS PAC ID: 2961583471
Enrollment ID: O20080122000521
Entity NameBowen Primary & Urgent Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003956079
PECOS PAC ID: 6103909098
Enrollment ID: O20080925000039
Entity NameQsm-nc Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881136893
PECOS PAC ID: 1052695798
Enrollment ID: O20170224001600
Entity NameDrynachan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891044657
PECOS PAC ID: 2264718824
Enrollment ID: O20180308002239
Entity NameEventus Wholehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281

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. Mirenda Latisa 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
Mirenda Latisa Williams, AGNP-C
4419 Karlbrook Ln,
Raleigh, NC 27616-6199

Ph: (919) 491-9226		Mirenda Latisa Williams, AGNP-C
2365 Springs Rd Ne,
Hickory, NC 28601-3067

Ph: (828) 325-0950

Reviews and Comments


Nurse Practitioner Nurses in Hickory, NC

Mrs. Penny Wlliamson Mitchell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2165 Medical Park Dr, Hickory, NC 28602
Phone: 828-324-2800    Fax: 828-294-9160
Lesley Lauren Loder, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602
Phone: 828-326-3809    Fax: 828-326-3371
Dr. Carla Rojas Fallas, DNP, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1939 Tate Blvd Se, Hickory, NC 28602
Phone: 828-358-1944    Fax: 828-867-7374
Mrs. Carrie Chestnut Herman, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2440 Century Pl Se, Hickory, NC 28602
Phone: 828-431-5600    Fax: 828-431-5637
Mrs. Donna C Sandifer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602
Phone: 828-326-3000    
Susan E Desroches, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Tate Blvd Se, Suite 201, Hickory, NC 28602
Phone: 828-322-4140    Fax: 828-322-3767
Penny James Matlock, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1985 Startown Rd, Suite 102, Hickory, NC 28602
Phone: 828-327-4745    Fax: 828-322-3569

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.