William Gary Engstrom, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

102364 Issued in NC

Practice address

404 Westwood Ave
Ste 107
High Point, NC 27262-4316

Phone

(336) 887-3195

Fax

(336) 887-3194

NPI assigned

Jun 13, 2005

Last updated

Jul 13, 2026By 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 NC

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

Specialty

Physician Assistant

Education

Wake Forest University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boone Dermatology ClinicGroup PAC ID 8224062666, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.83 of 100Reported as individual

Quality

77.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: engstrom@boonedermclinic.emadirect.md

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.

• Boone Dermatology Clinic

  • Dermatology Physician
  • Boone, NC
  • NPI 1417913260
  Medicare reassignment Care Compare group
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437153954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WESTWOOD AVE",
            "address_2": "STE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624316",
            "telephone_number": "336-887-3195",
            "fax_number": "336-887-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WESTWOOD AVE",
            "address_2": "STE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624316",
            "telephone_number": "336-887-3195",
            "fax_number": "336-887-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGSTROM",
        "first_name": "WILLIAM",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "102364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerywood Supervised Living LLC
• Emily Stainback LCSW
• Emma Jean Blackwell (Blackwell Cameo)
• Emmanuel Senior Enrichment Center
• John August Engelmann Jr., M.D.
• Enhanced Med Supply LLC
• Enhanced Med Supply LLC
• Constance Arnettres Epps, DDS
• Robert Alexander Erdin, M.D.
• Eric J Hartzell DMD PA

• Dermatology Physician in High Point, NC
• Providers in High Point, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.