Individual provider Active NPI

Michael Evan Williams, FNP-C

  • Family Nurse Practitioner
  • Zachary, LA
National Provider Identifier
1013743327
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234984 Issued in LA
Practice address
6550 Main St Ste 1000
Zachary, LA 70791-4092
Phone
(225) 654-1559
Fax
(225) 654-6212
NPI assigned
Sep 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 234984 LA Primary

Addresses

Primary practice location

6550 Main St Ste 1000
Zachary, LA 70791-4092

Mailing address

6550 Main St Ste 1000
Zachary, LA 70791-4092
Phone (225) 654-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227002041 LA Practitioner - Nurse Practitioner 9133656440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Boston Primary Care LLCGroup PAC ID 6901299809, 3 clinicians
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

18448 Magnolia Bridge Rd
Suite a
Greenwell Springs, LA 70739-4626
Phone (225) 256-0063

6550 Main St
Suite 1000
Zachary, LA 70791-4092
Phone (225) 654-1559

Hospital & facility affiliations

  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
234984LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Primary Care LLC CurrentSince Jan 10, 2026 Accepting new patients
Cardiovascular Institute of the South, LLC Nurse Practitioner CurrentSince Dec 9, 2024 Accepting new patients

Locations

18448 Magnolia Bridge Rd
#A
Greenwell Springs, LA 70739
Phone (225) 256-0063

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

6550 Main St
Ste 1000
Zachary, LA 70791
Phone (225) 654-1559

Interoperability endpoints

  • Direct secure messaging: michael.williams.1@24590.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24590/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1013743327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST STE 1000",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914092",
            "telephone_number": "225-654-1559",
            "fax_number": "225-654-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST STE 1000",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914092",
            "telephone_number": "225-654-1559",
            "fax_number": "225-654-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "EVAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "234984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.