DERRICK LANE WILLIAMS RN, APRN, ACNP
NPI 1922333194
Nurse Practitioner in Fort Wayne, IN
About Derrick Lane Williams Rn, Aprn, Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK LANE WILLIAMS RN, APRN, ACNP (NPI 1922333194) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71003104A) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Derrick Lane Williams Rn, Aprn, Acnp 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marion General Hospital
Acute Care Hospitals · Marion, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 Derrick Williams's NPI number?
The NPI number for Derrick Williams is 1922333194. It was assigned to this individual provider in the NPPES registry on October 6, 2009.
Where is Derrick Williams located?
Derrick Williams practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 203-9600.
What is Derrick Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Derrick Williams enrolled in Medicare?
Yes. Derrick 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.
Is Derrick Williams affiliated with any hospitals?
According to CMS data, Derrick Williams is affiliated with Marion General Hospital.
When was this NPI record last updated?
The NPPES record for Derrick Williams was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Derrick Lane Williams, RN, APRN, ACNP · NPI 1922333194
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since October 6, 2009.
## Identity
- **NPI:** 1922333194 (Entity type: Individual)
- **Enumerated:** October 6, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71003104A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7950 W JEFFERSON BLVD, Fort Wayne, IN 46804-4140
- **Phone:** (260) 203-9600 · **Fax:** (260) 739-6167
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 2, 2014
- **Other identifiers:** Medicaid 200972030 (IN); Medicare PIN M400070004 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1922333194) · Data from the CMS NPPES public registry.