Individual provider Active NPI

William A Paczkowski, NP

  • Family Nurse Practitioner
  • Alcoa, TN
National Provider Identifier
1205327103
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24254 Issued in TN
Practice address
281 Cusick Rd
Alcoa, TN 37701
Phone
(865) 970-0025
Fax
(865) 970-2089
NPI assigned
May 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24254 TN
Family Nurse Practitioner 363LF0000X 24254 TN Primary

Addresses

Primary practice location

281 Cusick Rd
Alcoa, TN 37701

Mailing address

9000 Executive Park Dr Ste C200
Knoxville, TN 37923-4644
Phone (865) 670-6754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180911003195 TN Practitioner - Nurse Practitioner 2365792454 Reassigns benefits to 2 organizations
I20240814002899 NC Practitioner - Nurse Practitioner 2365792454 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of North Carolina, P.C. CurrentSince Jul 15, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Jun 1, 2018 Accepting new patients
University Health System. Inc Family Medicine Current Accepting new patients
Ut Urgent Care Centers LLC Family Medicine CurrentSince Sep 17, 2018 Accepting new patients
University Health System, Inc. CurrentSince Jun 1, 2018 Accepting new patients

Locations

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

281 Cusick Rd
Alcoa, TN 37701
Phone (865) 970-0025

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61117

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1205327103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 EXECUTIVE PARK DR STE C200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234644",
            "telephone_number": "865-670-6754",
            "fax_number": "865-670-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 CUSICK RD",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "37701",
            "telephone_number": "865-970-0025",
            "fax_number": "865-970-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACZKOWSKI",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "24254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcoa, TN

Sources for this page

Verify at the official NPI Registry.