William Weller, AGACNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-160086 Issued in AL

Practice address

2804 Dr John Haynes Dr
Pell City, AL 35125-1438

Phone

(205) 338-6655

Fax

(205) 338-6658

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ilinca Prisacaru, MD, PC

  dba Margaret Medical Clinic

  • Primary Care Clinic/Center
  • Odenville, AL
  • NPI 1861128456
  Medicare reassignment NPD
• Pell City Internal Medicine LLC

  dba Pell City Internal and Family Medicine

  • Family Medicine Physician
  • Pell City, AL
  • NPI 1649539610
  Medicare reassignment NPD
• Alabama Anesthesiology and Pain Consultants P.C.

  • Anesthesiology Physician
  • Pell City, AL
  • NPI 1831388255
  NPD
• Margaret Medical Clinic LLC

  • Family Medicine Physician
  • Odenville, AL
  • NPI 1093240434
  NPD

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1326799594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251438",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251438",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "WILLIAM",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-160086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #10480)
• Anna Walker, RPT
• Sara V Walker, MSN, CRNP, FNP-BC
• Nancy Craig Warren, CRNP
• Brittany Haverland Washington, CRNP
• Alexandria Whalen, DPT
• Haley Calhoun White, CRNP
• Joe F Willard, OTRL
• Linsey Steadman Williams, M.D.
• Marvin Earl Williams Jr., DPM

• Gerontology Nurse Practitioner in Pell City, AL
• Providers in Pell City, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.