RN, APRN, ACNP | Nurse Practitioner - Acute Care | 15+ years Exp
Accepts Medicare Acute Care Nurse Practitioner in Fort Wayne, Indiana.
Derrick Lane Williams is a Fort Wayne, Indiana based nurse practitioner with 15 years of experience in Acute Care. He completed his graduation in 2009. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Derrick Lane Williams is 71003104A in Indiana. His current practice location is 7950 W Jefferson Blvd, Fort Wayne. Patients can reach him at 260-203-9600 or can fax him at 260-739-6167. Derrick Lane Williams is RN, APRN, ACNP with specialization in Acute Care and his NPI number (Unique professional ID assigned by NPPES) is 1922333194. Derrick Lane Williams is a licensed independent practitioner and may autonomously provide care. He provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Derrick Lane Williams speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Derrick Lane Williams
Specialization:
Acute Care Nurse Practitioner (ACNP)
Gender:
Male
Credentials:
RN, APRN, ACNP
Experience:
15+ years
Medical School Attended:
Other
Graduation Year:
2009
Accepts Medicare Assignment:
Yes
Practice Address:
7950 W Jefferson Blvd, Fort Wayne, Indiana, 46804-4140
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2365584661
Enrollment ID:
I20100126000006
NPI Number:
1922333194
NPI Enumeration Date:
06 Oct, 2009
NPI Last Update On:
02 Sep, 2014
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derrick Lane Williams are as mentioned below.
License Number
Specialization
State
Status
71003104A
Indiana
Primary
28139511A
Acute Care
Indiana
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(150011)
Marion, IN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Derrick Lane Williams is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Marion General Hospital (9133023625)
98
Other Medical Identifiers:
Other legacy medical identifiers associated with Derrick Lane Williams such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200972030
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Derrick Lane Williams 10351 Dawsons Creek Blvd, Suite A-1 Fort Wayne, Indiana
Zip:
46825-1904
Phone Number:
260-203-9600
Patients can reach Derrick Lane Williams at 7950 W Jefferson Blvd, Fort Wayne, Indiana or can call to book an appointment on 260-203-9600.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.