DANIEL BRYAN WILLIAMS
NPI 1629695358
Nurse Practitioner - Acute Care in Kettering, OH

Q: What is Daniel Williams's NPI number?

The NPI number for Daniel Williams is 1629695358. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Q: What is Daniel Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Williams was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 29, 2020PECOS Enrolled

3533 SOUTHERN BLVD STE 2100, KETTERING, OH 45429(937) 395-8556(937) 395-6375 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Sep 30, 2021, May 19, 2021 and 2 more (5 updates tracked since 2020).

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About Daniel Bryan Williams NPPES

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

DANIEL BRYAN WILLIAMS (NPI 1629695358) is an individual acute care provider in Kettering, Ohio, licensed in Ohio (APRN.CNP.0041542) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629695358

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameDANIEL BRYAN WILLIAMS

Location Address3533 SOUTHERN BLVD STE 2100Kettering, OH 45429-1267

Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 257-8718

Phone(937) 395-8556

Fax(937) 395-6375

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 29, 2020

Last NPPES UpdateApril 8, 20265 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1629695358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in OH · APRN.CNP.0041542✔ Licensed in CA · 95016523

3533 SOUTHERN BLVD STE 2100, Kettering, OH 45429

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Secondary Practice Locations 2

Location 14881 Sugar Maple DrWpafb, OH 45433-5529 · Phone (937) 257-8718

Location 23535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 395-6665 · Fax (937) 395-6376

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Bryan Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416363544

PECOS Enrollment IDI20260423001873

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 Daniel Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kettering Independent Medical Group Inc

4.9 mi

Orthopaedic Surgery

1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342

Reassigned Medicare billing, Ohio enrollment
984 clinicians in this Medicare group

NPI 1629387865 (937) 762-1629

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 15

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

ISABEL KATHLEEN STOFFEL PA-C

Physician Assistant