Active NPI
Dustin Williams, NP
- Family Nurse Practitioner
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1073713
- Practice address
- 1402 S Custer Rd Ste 704
McKinney, TX 75072-1453 - Phone
- (469) 915-5069
- Fax
- (469) 915-4118
- NPI assigned
- Mar 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1073713 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1073713 | TX | Primary |
Addresses
Primary practice location
1402 S Custer Rd Ste 704
McKinney, TX 75072-1453
Mailing address
1402 S Custer Rd Ste 704
McKinney, TX 75072-1453
Phone (469) 915-5069
Other practice location 1
3943 Old Jacksonville Rd
Tyler, TX 75701-8519
Phone (214) 842-9830
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1402 S Custer Rd
Suite 704
McKinney, TX 75072-1453
Phone (469) 915-5069
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073713 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Total Wellness PLLC | Current | Accepting new patients | |
| Citydoc Urgent Care Center 2, PLLC | Current | Accepting new patients | |
| CD Urgent Care Center 5, PLLC | Current | Accepting new patients | |
| City Doc Uptown Urgent Care Center, PLLC | Current | Accepting new patients | |
| Citydoc Urgent Care Center 3, PLLC | Current | Accepting new patients | |
| Reclaim Physicians Medical Group Inc | Past | Accepting new patients | |
| Aesthetix Health Solutions, LLC | Nurse Practitioner | Past | Accepting new patients |
| Paul Phillips III, M.D., P.a. | Past | Accepting new patients |
Locations
2807 Allen St
Dallas, TX 75204
Phone (469) 781-1478
2909 McKinney Ave
Ste B
Dallas, TX 75204
Phone (214) 871-7000
5301 W Lovers Ln
Ste 109
Dallas, TX 75209
Phone (214) 352-7800
10759 Preston Rd
#200
Dallas, TX 75230
Phone (214) 871-7000
3116 W 6th St
Ste 100
Fort Worth, TX 76107
3020 W 7th St
Ste 210
Fort Worth, TX 76107
Phone (817) 984-8687
1402 S Custer Rd
Ste 704
McKinney, TX 75072
Phone (469) 915-5069
1400 N Coit Rd
Ste 504B
McKinney, TX 75071
130 N Preston Rd
Ste 329
Prosper, TX 75078
Phone (469) 915-5069
Interoperability endpoints
- dwilliams@org213.direct.charmhealth.com
- dwilliams@elite.kareodirect.com
Organizations & group practices 8
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.
-
dba Elite Wound Care
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- McKinney, TX
- NPI 1609639178
-
- Urgent Care Clinic/Center
- Fort Worth, TX
- NPI 1407224850
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1679686349
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1003044942
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1619237401
-
dba DW Medical Consulting
- Nurse Practitioner
- McKinney, TX
- NPI 1053238527
-
dba Phillips Orthopedic Associates
- Orthopaedic Surgery Physician
- Fredericksburg, TX
- NPI 1477045151
-
- Family Medicine Physician
- Grapevine, TX
- NPI 1811418023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1700411667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S CUSTER RD STE 704",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750721453",
"telephone_number": "469-915-5069",
"fax_number": "469-915-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S CUSTER RD STE 704",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750721453",
"telephone_number": "469-915-5069",
"fax_number": "469-915-4118"
}
],
"practiceLocations": [
{
"address_1": "3943 Old Jacksonville Rd",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757018519",
"country_code": "US",
"telephone_number": "214-842-9830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DUSTIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-11",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1073713",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1073713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.