PATRICK DALE WILLIAMS – Nurse Practitioner, NPI 1720453954

PATRICK DALE WILLIAMS is a healthcare provider. based in Odessa, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP130336 (TX). The NPI Number for PATRICK DALE WILLIAMS is 1720453954

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK DALE WILLIAMS
NPI
1720453954
Phone
(432) 640-2834
Address
PO BOX 2129
Enumeration Date
14 December 2015
Last Update Date
11 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7044036100
Graduation Year
2015 (11 years ago)
PAC ID
7416244702
Group Practice PAC ID
3375449655
Professional Enrollment ID
I20180605001105
Address ID
NC280252966CO100XXDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:10State licenses:4Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for PATRICK DALE WILLIAMS

  • PO BOX 2129

    ODESSA, TX 797602129

    Phone: (432) 640-2834

    Fax: (432) 640-2897

    Type: Mailing

  • 500 W 4TH ST

    ODESSA, TX 797615001

    Phone: (432) 640-2834

    Fax: (432) 640-2897

    Type: Location

  • 557 Brookdale Dr

    Statesville, NC 286774107

    Phone: (704) 873-5661

    Type: Location

  • 7206 IRONGATE DR

    LANCASTER, SC 297200321

    Phone: (256) 393-6912

    Type: Mailing

  • 222 HERLONG AVE S

    ROCK HILL, SC 297321158

    Phone: (803) 329-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180605001105INurse PractitionerNCTBD
I20190221000623INurse PractitionerALTBD
I20191216002922INurse PractitionerSCTBD

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
99291Critical care, first 30-74 minutes2119$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 79760)

Loading plans...

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: 3375449655View full group profile
NameSpecialtyState
-NC
Hospitalist, Internal MedicineNC
Nurse PractitionerNC
-NC
Nurse PractitionerNC
Physician AssistantNC
Physician AssistantCA
Physician AssistantNC
Physician AssistantWV
Thoracic Surgery, Cardiac SurgeryVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is PATRICK DALE WILLIAMS listed with a National Provider Identifier?
Yes — PATRICK DALE WILLIAMS has NPI 1720453954 on file in the registry.
Is there an active status for PATRICK DALE WILLIAMS?
For scheduling context, PATRICK DALE WILLIAMS is shown as active in the registry.
What kind of doctor is PATRICK DALE WILLIAMS?
PATRICK DALE WILLIAMS is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is PATRICK DALE WILLIAMS associated with Odessa?
Public fields place PATRICK DALE WILLIAMS around Odessa, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.