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DOUGLAS WILLIAMS ARNP
NPI 1013944800
Nurse Practitioner in Burkesville, KY

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
97.35/100
CMS Quality Rating
299A GLASGOW RD, BURKESVILLE, KY 42717(270) 864-2555(270) 864-3777 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Williams Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS WILLIAMS ARNP (NPI 1013944800) is an individual nurse practitioner in Burkesville, Kentucky, licensed in Kentucky (3004378) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland County Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013944800
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDOUGLAS WILLIAMSCredential: ARNP
Location Address299A GLASGOW RDBurkesville, KY 42717-9696
Mailing Address7001 Celina RoadBurkesville, KY 42717 · (270) 433-1241
Phone(270) 864-2555
Fax(270) 864-3777
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1013944800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3004378
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
299A GLASGOW RD, Burkesville, KY 42717
Open in Google Maps ↗

Other Identifiers 1

Medicaid78014073KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Williams Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971799107
PECOS Enrollment IDI20101130000282
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland County Hospital

Critical Access Hospitals · Burkesville, KY
OwnershipGovernment - Local
CMS Certification Number181317
Location299 Glasgow RoadBurkesville, KY 42717 · Cumberland County
Emergency services

The Medical Center At Albany

Critical Access Hospitals · Albany, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181333
Location723 Burkesville RoadAlbany, KY 42602 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$21.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers40 claims40 services$110.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CUMBERLAND COUNTY HOSPITAL ASSOCIATION INC
Clinic/Center (Rural Health)
299A GLASGOW RD
BURKESVILLE, KY 42717
Cumberland County (270) 864-2555
VICTORIA KINGREY NP
Nurse Practitioner (Family)
299A GLASGOW RD
BURKESVILLE, KY 42717
Cumberland County (270) 864-2555
LAUREN DYER-HURT MD
Family Medicine
299A GLASGOW RD
BURKESVILLE, KY 42717
Cumberland County (270) 864-2555
CHRISTIAN D KONSAVAGE M.D.
Family Medicine
299A GLASGOW RD
BURKESVILLE, KY 42717
Cumberland County (270) 864-2555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Williams's NPI number?

The NPI number for Douglas Williams is 1013944800. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Douglas Williams located?

Douglas Williams practices at 299A Glasgow Rd, Burkesville, KY 42717. The listed phone number is (270) 864-2555.

What is Douglas Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Douglas Williams enrolled in Medicare?

Yes. Douglas Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Williams accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Douglas Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Williams affiliated with any hospitals?

According to CMS data, Douglas Williams is affiliated with Cumberland County Hospital and The Medical Center At Albany.

When was this NPI record last updated?

The NPPES record for Douglas Williams was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.