Michaela Jae Williams, PA-C
Physician Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1518408384
StatusActive
Last updated in NPPESMay 28, 2026
Details
- NPI
- 1518408384
- Entity type
- Individual (NPI-1)
- Name
- Michaela Jae Williams
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2017
- Certification date
- May 28, 2026
- Last updated
- May 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 7574 | AZ | Yes |
| 363A00000X | Physician Assistant | PA181971 | OR | |
| 363AS0400X | Physician Assistant, Surgical | 7574 | AZ |
Practice location
500 W Thomas Rd Ste 800Phoenix, AZ 85013-4217
Phone 602-406-1234 · Fax 602-406-6368
Mailing address
Po Box 33269Phoenix, AZ 85067-3269
Phone 602-406-4786
Other practice locations
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Scottsdale, AZ 85259-5452
Phone 480-301-8000
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