DESIREE DIAN WILLIAMS (FNP-BC) – Family Nurse Practitioner, NPI 1548502495

DESIREE DIAN WILLIAMS (FNP-BC) is a healthcare provider. based in South bend, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 28130302A (IN). The NPI Number for DESIREE DIAN WILLIAMS (FNP-BC) is 1548502495

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DESIREE DIAN WILLIAMS (FNP-BC)
NPI
1548502495
Phone
(574) 234-0049
Address
17501 Generations Dr
Enumeration Date
19 March 2013
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742340049
Graduation Year
2012 (14 years ago)
PAC ID
0446479083
Group Practice PAC ID
2163529892
Professional Enrollment ID
I20140915001186
Address ID
IN466351589SO17501DRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:13State licenses:3Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for DESIREE DIAN WILLIAMS (FNP-BC)

  • 17501 Generations Dr

    South Bend, IN 466351589

    Phone: (574) 234-0049

    Fax: (574) 234-0053

    Type: Location

  • 17501 GENERATIONS DR

    SOUTH BEND, IN 466351589

    Phone: (574) 234-0049

    Fax: (574) 234-0053

    Type: Mailing

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

  • 12750 SAINT FRANCIS DR STE 410

    CROWN POINT, IN 463070264

    Phone: (219) 769-8340

    Fax: (219) 769-8341

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 203 Open Payments records for all available years, with a total value of $4,091.

Total Amount is formed as General ($4,091) + Research ($0) + Ownership ($0) = $4,091.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($1,377).

Total Amount

$4,091

General + Research + Ownership

Payments

203

Total payment records

General Amount

$4,091

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-09-15

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
I20140915001186INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes234200$0
99213Established patient office or other outpatient visit, 20-29 minutes8577$0
99204New patient office or other outpatient visit, 45-59 minutes7070$0
99212Established patient office or other outpatient visit, 10-19 minutes2018$0
91200Measurement of liver stiffness1313$0
View full utilization report →

Insurance plans in this area (ZIP 46635)

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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: 2163529892View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyIN
Nurse PractitionerIN
G A S T R O E N T E R O L O G YIL
Internal Medicine, GastroenterologyIN
-IN
Gastroenterology, Internal MedicineIN
Internal Medicine, GastroenterologyIN
Internal MedicineIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is there an official ID for DESIREE DIAN WILLIAMS (FNP-BC) in U.S. healthcare records?
The official identifier for DESIREE DIAN WILLIAMS (FNP-BC) is NPI 1548502495.
Is DESIREE DIAN WILLIAMS (FNP-BC) shown as active in public data?
Registry records indicate DESIREE DIAN WILLIAMS (FNP-BC) maintains an active NPI.
What clinical focus is listed for DESIREE DIAN WILLIAMS (FNP-BC)?
At a glance, DESIREE DIAN WILLIAMS (FNP-BC) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DESIREE DIAN WILLIAMS (FNP-BC) located near South Bend?
DESIREE DIAN WILLIAMS (FNP-BC) currently maps to South Bend, Indiana in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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