Jaqueta Antanina Williams, FNP
NPI 1952830168ActiveIndividual· Nurse Practitioner, Family· Jurupa Valley, CA
Nurse Practitioner, Family (FNP) in Jurupa Valley, California, licensed in CA, NY, NV and AZ and other states, with an NPI issued in June 2017. In 2024 Medicare paid $151,173 for 156 patients, and Part D covered 347 of their prescriptions, 83% of them generic.
Overview
| NPI | 1952830168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jun 9, 2017 |
| Last updated in NPPES | Jul 31, 2026 |
| Certified by provider | Jul 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95006450 | CA |
| Nurse Practitioner, Family | 363LF0000X | F35407201 | NY |
| Nurse Practitioner, Family | 363LF0000X | 872356 | NV |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | F405824 | NY |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | TELE310454 | AZ |
| Nurse Practitioner, Family | 363LF0000X | 2017014619 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 156 |
|---|---|
| Services billed | 2,900 across 16 procedure codes |
| Paid by Medicare | $151,173 |
Part D prescriptions in 2024
| Prescriptions (claims) | 347 · 523 30-day fills |
|---|---|
| Patients | 60 |
| Total drug cost | $49,102 |
| Generic share | 83% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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