Individual provider Active NPI

Tracy Evett Williams, FNP, PMHNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1639647894
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139318 Issued in TX
Practice address
22202 Bulverde Rd
San Antonio, TX 78261-3080
Phone
(210) 497-0353
Fax
(210) 497-5276
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 AP139318 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP139318 TX

Addresses

Primary practice location

22202 Bulverde Rd
San Antonio, TX 78261-3080

Mailing address

22202 Bulverde Rd
San Antonio, TX 78261-3080
Phone (210) 497-0353

Other practice location 1

10807 Pern Betl Rd Ste 300
San Antonio, TX 78217-3144
Phone (210) 245-7862

Other identifiers 1

IdentifierTypeStateIssuer
AP139318OtherTXAPRN LICENSE

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
I20190613000527 TX Practitioner - Nurse Practitioner 7719210368 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Insight Mental Wellness PAGroup PAC ID 5496094039, 18 clinicians

Practice addresses (Care Compare)

10807 Perrin Beitel Rd
Suite 300
San Antonio, TX 78217-3144
Phone (210) 245-7862

22202 Bulverde Rd
San Antonio, TX 78261-3080
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Feb 1, 2020 Accepting new patients
Insight Mental Wellness PA Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Feb 1, 2020 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Medvon Medical Clinic Professional Corporation PastSince Oct 1, 2024 Accepting new patients

Locations

10807 Perrin Beitel Rd
Ste 300
San Antonio, TX 78217
Phone (210) 245-7862

12915 Jones Maltsberger Rd
Ste 102
San Antonio, TX 78247
Phone (210) 245-7862

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Organizations & group practices 7

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1639647894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22202 BULVERDE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613080",
            "telephone_number": "210-497-0353",
            "fax_number": "210-497-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22202 BULVERDE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613080",
            "telephone_number": "210-497-0353",
            "fax_number": "210-497-5276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10807 Pern Betl Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782173144",
            "country_code": "US",
            "telephone_number": "210-245-7862",
            "fax_number": "210-245-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRACY",
        "middle_name": "EVETT",
        "name_prefix": "Ms.",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139318",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN  LICENSE",
            "identifier": "AP139318",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.