Derrick Lane Williams
RN, APRN, ACNP | Nurse Practitioner - Acute Care | 16+ years Exp
7950 W Jefferson Blvd, Fort Wayne
Indiana, 46804-4140
260-203-9600
Derrick Lane Williams is a Fort Wayne, Indiana based nurse practitioner with 16 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: | 16+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 7950 W Jefferson Blvd, Fort Wayne,
Indiana, 46804-4140 |
| Phone: | 260-203-9600 |
| Fax: | 260-739-6167 |
Professional Identification Codes:
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:
Patients can read all the reviews posted for Derrick Lane Williams below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Derrick Lane Williams. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.