DAVETTE TRACI WILLIAMS RN
NPI 1265727192
Nurse Practitioner in Kernersville, NC

Q: What is Davette Williams's NPI number?

The NPI number for Davette Williams is 1265727192. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is Davette Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Davette Williams was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 20, 2011PECOS Enrolled

1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284(336) 802-2145(336) 802-2146 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2023, Oct 26, 2020, Oct 13, 2016 (3 updates tracked since 2016).

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About Davette Traci Williams Rn NPPES

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

DAVETTE TRACI WILLIAMS RN (NPI 1265727192) is an individual nurse practitioner in Kernersville, North Carolina, licensed in North Carolina (5005190) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265727192

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDAVETTE TRACI WILLIAMSCredential: RN

Location Address1750 KERNERSVILLE MEDICAL PKWYKernersville, NC 27284-7146

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 564-4866 · Fax (336) 564-4869

Phone(336) 802-2145

Fax(336) 802-2146

Sole ProprietorNo

Enumeration DateJune 20, 2011

Last NPPES UpdateJune 14, 20233 updates tracked since enumeration

NPPES CertifiedJune 14, 2023

✔ NPI 1265727192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5005190

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 207784 (NC)

1750 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davette Traci Williams Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Davette Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Health Care PA

2.1 mi

Podiatrist

445 PINEVIEW DR, SUITE 230
Kernersville, NC 27284

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Wake Forest Health Network LLC
583 clinicians in this Medicare group

NPI 1780922831 (336) 765-0710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Reported Quality Measures

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

Patients 65+: 96% · 26 patients

90%30 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

NOVANT HEALTH MEDICAL GROUP, LLC

Hospitalist