William Edward Conley, NP
Individual provider Active NPI Family Nurse Practitioner · McClellan, CA
NPI 1780210757 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1780210757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95013448 (CA)
- Practice address
- 5342 Dudley Blvd
McClellan, CA 95652-1012 - Phone
- (916) 561-7400
- NPI assigned
- Mar 21, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618003326 | CA | Practitioner - Nurse Practitioner | 8729521794 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013448 | CA | MD | Family Nurse Practitioner |
| 95023461 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Inclusive Medical Services Urgent Care, Inc. | Current |
Accepting new patients | |
| All Inclusive Medical Services, Inc | Current |
Accepting new patients |
Locations
5900 Coyle Ave
Ste B
Carmichael, CA 95608
Phone (916) 349-7600
5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95013448 | CA | Yes |
Addresses
Primary practice location
5342 Dudley Blvd
McClellan, CA 95652-1012
Mailing address
5342 Dudley Blvd
McClellan, CA 95652-1012
Phone (916) 561-7400
Other providers in McClellan, CA
- David Christian Cole
- Robert David Coleman
- Sasha Collier
- Jeremy Combs
- Beverly Lynn Conley
- Reese Jerel Cooper
- Thomas Floyd Coye
- Drew Crawford
- Janelle Culjis
- Makeira Kay Cummings-Williams
All providers in McClellan, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.