DERRICK LANE WILLIAMS (RN, APRN, ACNP) – Nurse Practitioner, NPI 1922333194
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for DERRICK LANE WILLIAMS (RN, APRN, ACNP)
Lutheran Hospital, 7950, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468044140
Phone: (260) 203-9600
Fax: (260) 739-6167
Type: Location
10351, Dawsons Creek Boulevard, Fort Wayne, Allen County, Indiana, 46825, United States
SUITE A-1
FORT WAYNE, IN 468251904
Phone: (260) 203-9600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Boston Scientific Corporation ($68).
Total Amount
$68
General + Research + Ownership
Payments
1
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $68 |
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: 2010-01-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100126000006 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 78 | 75 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 65 | 65 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 55 | 53 | $0 |
| 99291 | Critical care, first 30-74 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Emergency Medicine | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Critical Care (Intensivists), Nephrology | IN | |
| Hospitalist, Internal Medicine | IN | |
| Emergency Medicine, Pathology | IN | |
| Emergency Medicine | IN | |
| Pulmonary Disease, Internal Medicine | IN | |
| Orthopedic Surgery | IN |
Reviews
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