Individual provider Active NPI

Michael A Williams, APRN

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1134667355
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030806 Issued in TX
Practice address
4534 W Gate Blvd Ste 106
Austin, TX 78745-1420
Phone
(512) 840-1273
NPI assigned
Feb 8, 2017
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6883 CT
Family Nurse Practitioner 363LF0000X 1030806 TX Primary

Addresses

Primary practice location

4534 W Gate Blvd Ste 106
Austin, TX 78745-1420

Mailing address

4534 W Gate Blvd Ste 106
Austin, TX 78745-1420
Phone (512) 840-1273

Other identifiers 1

IdentifierTypeStateIssuer
004235900MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240124000767 TX Practitioner - Nurse Practitioner 9739464199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6883CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Che-Center for Health Empowerment CurrentSince Jan 13, 2024 Accepting new patients
Cornell Scott Hill Health Corporation PastSince May 1, 2020 Accepting new patients

Locations

1941 Webberville Rd
Austin, TX 78721
Phone (512) 840-1273

2312 Western Trails Blvd
Ste 102
Austin, TX 78745

2312 Western Trails Blvd
Ste 103
Austin, TX 78745
Phone (512) 328-8900

4534 West Gate Blvd
Ste 106
Austin, TX 78745
Phone (512) 284-7500

951 York Dr
Ste 102
Desoto, TX 75115
Phone (512) 843-7648

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16277/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mwilliams343068@direct.ynhh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1134667355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 W GATE BLVD STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451420",
            "telephone_number": "512-840-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 W GATE BLVD STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451420",
            "telephone_number": "512-840-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6883",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235900",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.