MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) – Nurse Practitioner, NPI 1083754048

MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) is a healthcare provider. based in Temple terrace, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, RN, EMT-P. They hold a License No. PMD205169 (FL). The NPI Number for MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) is 1083754048

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P)
NPI
1083754048
Phone
(813) 407-3431
Address
8016 TERRACE RIDGE DR
Enumeration Date
7 February 2007
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138704460
Graduation Year
2018 (8 years ago)
PAC ID
7012303704
Group Practice PAC ID
1658274287
Professional Enrollment ID
I20220405003002
Address ID
FL336147123TA4600XAVEX403

Contacts

Secure Messaging
Kevin.WilliamsAPRN@direct.mybaycare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:19State licenses:4Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P)

  • 8016 TERRACE RIDGE DR

    TEMPLE TERRACE, FL 336373002

    Phone: (813) 407-3431

    Fax: (813) 449-8563

    Type: Mailing

  • 2995 DREW ST

    CLEARWATER, FL 337593012

    Phone: (727) 315-7496

    Type: Mailing

  • 12902 USF MAGNOLIA DR RM 1072

    TAMPA, FL 33612

    Phone: (813) 745-2800

    Fax: (813) 449-8563

    Type: Location

  • 409 Bayshore Blvd

    Tampa, FL 336062707

    Phone: (813) 253-2640

    Fax: (813) 349-6512

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 164 Open Payments records for all available years, with a total value of $12,398.

Total Amount is formed as General ($12,398) + Research ($0) + Ownership ($0) = $12,398.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($4,150).

Total Amount

$12,398

General + Research + Ownership

Payments

164

Total payment records

General Amount

$12,398

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220405003002INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33637)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658274287View full group profile

Reviews

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Frequently asked questions

Is MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) listed with a National Provider Identifier?
Yes — MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) has NPI 1083754048 on file in the registry.
Would MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) appear as active to a payer?
You can treat MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P)?
MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P)?
Directory geography for MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P) centers on Temple Terrace, Florida.
Can I trust this NPI listing for MR. KEVIN SCOTT WILLIAMS (APRN, RN, EMT-P)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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