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Deactivated NPI 1538147509 Deactivated / Inactive NPI Female Practitioner

Carol Ann Williams

Internal Medicine • Brainerd, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carol Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2006
NPI Deactivation Date December 05, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Carol Williams was a registered Internal Medicine practicing in Brainerd, MN. Throughout an active medical career spanning 16 years, Carol Williams provided care at the practice location at 2024 S 6TH ST until profile deactivation on 2022-12-05.

Historical Medicare Part B clinical services included subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, established patient assisted living visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2024 S 6th St

Brainerd, MN 564014529

Telephone 2188287100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Brainerd, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Brainerd, MN (2726 Statewide)

Telehealth Adoption Rate
44.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
129 39 $211.00 $89.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
96 37 $152.00 $68.04
99335 Established patient assisted living visit, typically 25 minutes
64 29 $176.00 $92.88
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
43 26 $116.00 $59.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
11 11 $303.00 $127.92
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
11 11 $207.00 $89.49

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 39458

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003136839

Doctor of Osteopathic Medicine (D.O.)

Dr. Vishnuteja Devalla , MD

Internal Medicine - Rheumatology

NPI 1063874881

Doctor of Medicine (M.D.)

Jordan Benson , NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1104126994

Nurse Practitioner

Teresa Farrell

Dietitian, Registered

NPI 1104804350
Dr. Dale Hadland , MD

Family Medicine

NPI 1144204181

Doctor of Medicine (M.D.)

NPI 1154311660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 05, 2022

Record deactivated on December 05, 2022

NPI Profile Active June 07, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 07, 2011

Registered at 2024 S 6TH ST, BRAINERD, MN 564014529 (Tel: 2188287100)

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Updated Business Mailing Address June 07, 2011

Registered at 2024 S 6TH ST, BRAINERD, MN 564014529 (Tel: 2188287100)

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Provider Name / Credentials Updated June 07, 2011

Recorded as CAROL WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2011

Internal Medicine (License #39458 in MN)

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Initial NPI Registration & Enumeration January 09, 2006

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: 1538147509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: June 07, 2011
Deactivation Date: December 05, 2022

Mailing Address

2024 S 6th St

Brainerd, MN 564014529

Phone: 2188287100

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.