KATHLEEN A. JONES-MCWILLIAMS CNM
NPI 1790783645
Advanced Practice Midwife in Boston, MA
NPI Status: Active since July 13, 2005
Contact Information
736 CAMBRIDGE ST
CARITAS ST ELIZABETHS MEDICAL CENTER
BOSTON, MA
ZIP 02135
Phone: (617) 789-3000
- Individual
- Female
- Years of Experience 36
- Advanced Practice Midwife
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KATHLEEN JONES-MCWILLIAMS
This page provides the complete NPI Profile along with additional information for Kathleen Jones-mcwilliams, a provider established in Boston, Massachusetts with a medical specialization in Advanced Practice Midwife and more than 36 years of experience. She graduated from Perelman School Of Med At The University Of Pennsylvania in 1990. The healthcare provider is registered in the NPI registry with number 1790783645 assigned on July 2005. The practitioner's primary taxonomy code is 367A00000X with license number 156043 (MA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1790783645
- Provider Name
- KATHLEEN A. JONES-MCWILLIAMS CNM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 736 CAMBRIDGE ST CARITAS ST ELIZABETHS MEDICAL CENTER BOSTON, MA 02135
- Location Phone
- (617) 789-3000
- Mailing Address
- 77 WARREN ST. RM 339 BRIGHTON, MA 02135
- Mailing Phone
- (617) 562-5359
- Mailing Fax
- Medical School Name
- PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
- Graduation Year
- 1990
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-13-2005
- Last Update Date
- 03-16-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Advanced Practice Midwife
- Taxonomy Code
- 367A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 156043
- License State
- MA
- Taxonomy Description
- Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kathleen Jones-mcwilliams is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kathleen Jones-mcwilliams is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 547250771
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040518000476
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.41 for a new patient copayment and $19.71 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02135 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 7 | 8 | 3 | 6 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 8 | 6 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 8 + 6 + 6 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1790783645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568455939 | MAX G BARANOVSKY MD Individual | Psychiatry & Neurology (Psychiatry) | 736 CAMBRIDGE ST QUINN PAVILLION 3RD FLOOR BRIGHTON, MA 02135 (617) 789-2102 |
| 1124012299 | LESLIE A MARTIN M.D. Individual | Internal Medicine (Hematology) | 736 CAMBRIDGE ST MOTHER MARY ROSE FL 3 BRIGHTON, MA 02135 (617) 780-3048 |
| 1760476592 | ALLA V MARSHANSKY MD Individual | Anesthesiology | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 789-2777 |
| 1255325874 | JOHN O PASTORE MD Individual | Internal Medicine (Interventional Cardiology) | 736 CAMBRIDGE ST DEPT OF CARDIOLOGY CCP4C BRIGHTON, MA 02135 (617) 789-3149 |
| 1396739918 | MARK A LOVICH MD Individual | Anesthesiology | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 789-2782 |
| 1942294491 | MARY F ANDERSON DO Individual | Psychiatry & Neurology (Psychiatry) | 736 CAMBRIDGE ST QUINN PAVILLION 3RD FLOOR BRIGHTON, MA 02135 (617) 789-2102 |
| 1508851916 | DOUGLAS W LOSORDO MD Individual | Internal Medicine (Cardiovascular Disease) | 736 CAMBRIDGE ST DEPT OF CARDIOLOGY CCP4C BRIGHTON, MA 02135 (617) 789-3149 |
| 1588659742 | LILIANA TERESA SMURAWSKA MD Individual | Psychiatry & Neurology (Psychiatry) | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 789-3000 |
| 1407841570 | RALPH D AARONS MD Individual | Pediatrics | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 789-2381 |
| 1376538355 | LUCY A BAYER-ZWIRELLO M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 736 CAMBRIDGE ST SMC 7TH FLOOR BRIGHTON, MA 02135 (617) 562-7026 |
| 1356336275 | JUDITH A HINCHEY MD Individual | Psychiatry & Neurology (Neurology) | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 789-2375 |
| 1508851445 | LEE S PERRIN MD Individual | Anesthesiology | 736 CAMBRIDGE ST DEPT OF ANESTHESIOLOGY CMP 2 BRIGHTON, MA 02135 (617) 789-2777 |
| 1326033267 | SILVIA Z TESTA MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 789-2381 |
| 1497740344 | SHEELA EVA HEGDE-BATLIVALA MD Individual | Psychiatry & Neurology (Psychiatry) | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 789-2109 |
| 1295721827 | THOMAS EDRICH MD PHD Individual | Anesthesiology | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 789-2782 |
| 1831185479 | ROBERT P HUNSAKER MD Individual | Anesthesiology | 736 CAMBRIDGE ST DEPT OF ANESTHESIOLOGY CMP 2 BRIGHTON, MA 02135 (617) 789-2777 |
| 1013903673 | ORFEAS LIANGOS M.D. Individual | Internal Medicine (Nephrology) | 736 CAMBRIDGE ST ST ELIZABETHS MED CTR BOSTON, MA 02135 (617) 789-3100 |
| 1457347015 | SRDJAN S NEDELJKOVIC MD Individual | Anesthesiology | 736 CAMBRIDGE ST DEPT OF ANESTHESIOLOGY CMP2 BRIGHTON, MA 02135 (617) 789-2777 |
| 1699761007 | GARY T ROBELEN MD Individual | Anesthesiology | 736 CAMBRIDGE ST DEPT OF ANESTHESIOLOGY CMP 2 BRIGHTON, MA 02135 (617) 789-2777 |
| 1346236767 | MICHAEL A STELLER M.D. Individual | Obstetrics & Gynecology | 736 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 562-7406 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790783645, enumerated in the NPI registry as an "individual" on July 13, 2005
The provider is located at 736 Cambridge St Caritas St Elizabeths Medical Center Boston, Ma 02135 and the phone number is (617) 789-3000
The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X
The provider has more than 36 years of experience. She graduated from Perelman School Of Med At The University Of Pennsylvania in 1990.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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