ZACHARY MARSHALL WILLIAMS FNP-C
NPI 1407555360
Nurse Practitioner - Family in Shenandoah, TX

Active since March 01, 2023Opted out of Medicare · through Oct 23, 2027
121 VISION PARK BLVD STE 200, SHENANDOAH, TX 77384(281) 725-6767 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About Zachary Marshall Williams Fnp-c NPPES

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

ZACHARY MARSHALL WILLIAMS FNP-C (NPI 1407555360) is an individual family provider in Shenandoah, Texas, licensed in Texas (1112778) and active in the NPI registry since March 2023. He has opted out of Medicare through October 23, 2027.

NPPES Registry Identity

NPI1407555360
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameZACHARY MARSHALL WILLIAMSCredential: FNP-C
Location Address121 VISION PARK BLVD STE 200Shenandoah, TX 77384-3027
Mailing Address8840 Lakeshore DrMontgomery, TX 77316-2400
Sole ProprietorNo
Enumeration DateMarch 1, 2023
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
NPI 1407555360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1112778
Also ListedPediatricsTaxonomy 208000000X · License 962690 (TX)
121 VISION PARK BLVD STE 200, Shenandoah, TX 77384

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Zachary Marshall Williams Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 23, 2023 through October 23, 2027.

Opt-Out Effective DateOctober 23, 2023
Opt-Out In Effect ThroughOctober 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
121 VISION PARK BLVD STE 200
SHENANDOAH, TX 77384
Nurse Practitioner (Pediatrics)
121 VISION PARK BLVD STE 200
SHENANDOAH, TX 77384
Nurse Practitioner (Family)
121 VISION PARK BLVD STE 200
SHENANDOAH, TX 77384

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 Zachary Williams's NPI number?

The NPI number for Zachary Williams is 1407555360. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Zachary Williams located?

Zachary Williams practices at 121 Vision Park Blvd Ste 200, Shenandoah, TX 77384. The listed phone number is (281) 725-6767.

What is Zachary Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Zachary Williams enrolled in Medicare?

No. Zachary Williams has opted out of Medicare through October 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Zachary Williams was last updated on March 13, 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.