Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqualine Williams

Individual provider Nurse Practitioner · NPI 1033863857

Jacqualine Williams is a Nurse Practitioner in Anderson, Indiana. Qualified in 2021, 5 years ago. Practices with Open Door Health Services Inc, a 40-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022

Practice location Address checks out

3125 S Scatterfield Rd
Anderson, IN 46013-1802
Phone: (765) 298-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71012183A (IN)

Record details

NPI number1033863857
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Open Door Health Services Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Anderson