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Active NPI 1063418143 Individual Practitioner Female Practitioner

Kathleen Edna Williams , APRN

Nurse Practitioner • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kathleen Williams, APRN is a certified Nurse Practitioner practicing in Rockford, IL. With approximately 25 years of clinical experience since completing medical education in 2001, Kathleen Williams delivers high-quality medical care to the local community at 1340 CHARLES ST.

Kathleen Williams is affiliated with Swedishamerican Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1340 Charles St
Ste 201

Rockford, IL 61104

Telephone 7796968799
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rockford, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +14.3 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
130 Specialists

Practicing in Rockford, IL (4929 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Williams (25 Years) 25 Yrs
Rockford Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
207 91 $161.40 $53.98
11042 Removal of skin and tissue, 20.0 sq cm or less
48 21 $1355.00 $49.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 28 $240.40 $79.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $338.35 $102.47

Medical Specialties & State Licenses

CMS Verified: 2021-02-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-004303

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
209004303 (IL)
Commercial Insurance / Payer ID Personal Care
264325 (IL)

Hospital & Practice Group Affiliations

Swedishamerican Hospital

1340 Charles St, Rockford, IL 611042200

Phone: 7796968700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Cheng Lo , MD

Surgery - Vascular Surgery

NPI 1023037934

Doctor of Medicine (M.D.)

Andrea Mehlbaum

Nurse Practitioner - Family

NPI 1417483322
Dr. Kendall Boone , MD

Surgery - Vascular Surgery

NPI 1861498909

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 23, 2018

Registered at 1340 CHARLES ST, STE 201, ROCKFORD, IL 61104 (Tel: 7796968799)

📍
Updated Business Mailing Address July 23, 2018

Registered at PO BOX 78866, MILWAUKEE, WI 532788666 (Tel: 7796967150)

👤
Provider Name / Credentials Updated July 23, 2018

Recorded as KATHLEEN WILLIAMS, APRN

NPI Profile Active December 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2016

Registered at 1340 CHARLES ST, STE 201, ROCKFORD, IL 611042200 (Tel: 7796968799)

📍
Updated Business Mailing Address December 05, 2016

Registered at PO BOX 1567, ROCKFORD, IL 611100067

👤
Provider Name / Credentials Updated December 05, 2016

Recorded as KATHLEEN WILLIAMS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2016

Nurse Practitioner (License #209-004303 in IL)

🟢
Initial NPI Registration & Enumeration June 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063418143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2005
Last Update: February 18, 2021
Sole Proprietor: No

Mailing Address

Po Box 78866

Milwaukee, WI 532788666

Phone: 7796967150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.