Individual provider Active NPI

Dustin Williams, NP

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1700411667
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1073713 Issued in TX
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

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510000463 TX Practitioner - Nurse Practitioner 6406233634 Reassigns benefits to 5 organizations

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
Elite Total Wellness PLLCGroup PAC ID 1153768981, 2 clinicians

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

LicenseStateTypeSpecialty
1073713TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Total Wellness PLLC CurrentSince Jan 24, 2024 Accepting new patients
Citydoc Urgent Care Center 2, PLLC CurrentSince Mar 7, 2024 Accepting new patients
CD Urgent Care Center 5, PLLC CurrentSince Mar 7, 2024 Accepting new patients
City Doc Uptown Urgent Care Center, PLLC CurrentSince Mar 7, 2024 Accepting new patients
Citydoc Urgent Care Center 3, PLLC CurrentSince Mar 7, 2024 Accepting new patients
Reclaim Physicians Medical Group Inc PastSince Mar 7, 2024 Accepting new patients
Aesthetix Health Solutions, LLC Nurse Practitioner PastSince Jan 24, 2024 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

  • Direct secure messaging: dwilliams@org213.direct.charmhealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.