DOUGLAS WILLIAMS (ARNP) – Nurse Practitioner, NPI 1013944800

DOUGLAS WILLIAMS (ARNP) is a healthcare provider. based in Burkesville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 3004378 (KY). The NPI Number for DOUGLAS WILLIAMS (ARNP) is 1013944800

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS WILLIAMS (ARNP)
NPI
1013944800
Phone
(270) 864-3371
Address
333 KEEN STREET
Enumeration Date
27 June 2006
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708642511
Graduation Year
2004 (22 years ago)
PAC ID
3971799107
Group Practice PAC ID
9830006618
Professional Enrollment ID
I20101130000282
Address ID
KY427179696BU299XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for DOUGLAS WILLIAMS (ARNP)

  • Keen Street, Burkesville, Cumberland County, Kentucky, 42717, United States

    BURKESVILLE, KY 42717

    Phone: (270) 864-3371

    Fax: (270) 864-5667

    Type: Location

  • Celina Road, Burkesville, Cumberland County, Kentucky, 42717, United States

    BURKESVILLE, KY 42717

    Phone: (270) 433-1241

    Type: Mailing

  • 299A GLASGOW RD

    BURKESVILLE, KY 427179696

    Phone: (270) 864-2555

    Fax: (270) 864-3777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($57).

Total Amount

$192

General + Research + Ownership

Payments

10

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2010-11-30

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
I20101130000282INurse PractitionerKYTBD

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 42717)

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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: 9830006618View full group profile
NameSpecialtyState
Nurse PractitionerKY
Diagnostic Radiology, NeurologyOH
Diagnostic RadiologyOH
Nurse PractitionerKY
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyMI
Family PracticeKY
Family PracticeKY
Family PracticeKY
Family PracticeKY
Internal MedicineKY

Reviews

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Frequently asked questions

Does DOUGLAS WILLIAMS (ARNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DOUGLAS WILLIAMS (ARNP) uses 1013944800.
Does CMS list DOUGLAS WILLIAMS (ARNP) as active?
Yes — DOUGLAS WILLIAMS (ARNP) is active in the NPI listing used on this page.
What healthcare role does DOUGLAS WILLIAMS (ARNP) hold?
Scheduling teams often label DOUGLAS WILLIAMS (ARNP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DOUGLAS WILLIAMS (ARNP) based?
DOUGLAS WILLIAMS (ARNP) is tied to Burkesville, Kentucky in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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