Individual provider Active NPI

Dorianne Emily Williams, FNP

  • Family Nurse Practitioner
  • Kodiak, AK
National Provider Identifier
1992080139
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NURU1259 Issued in AK
Practice address
104 Center Ave Ste 100
Kodiak, AK 99615-6393
Phone
(907) 486-4183
Fax
(907) 486-4233
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 271889 AZ
Family Nurse Practitioner 363LF0000X 12244942-4405 UT
Family Nurse Practitioner 363LF0000X 2116 HI
Family Nurse Practitioner 363LF0000X APN.0997594-NP CO
Family Nurse Practitioner 363LF0000X 22890 CA
Family Nurse Practitioner 363LF0000X AP61155657 WA
Family Nurse Practitioner 363LF0000X NP200003188 DC
Family Nurse Practitioner 363LF0000X 70426 ID
Family Nurse Practitioner 363LF0000X 209.030112 IL
Family Nurse Practitioner 363LF0000X APRN-193044 MT
Family Nurse Practitioner 363LF0000X 11304 MN
Family Nurse Practitioner 363LF0000X R52095 ND
Family Nurse Practitioner 363LF0000X 67623 NM
Family Nurse Practitioner 363LF0000X 845523 NV
Family Nurse Practitioner 363LF0000X NURU1259 AK Primary

Addresses

Primary practice location

104 Center Ave Ste 100
Kodiak, AK 99615-6393

Mailing address

104 Center Ave Ste 100
Kodiak, AK 99615-6393
Phone (907) 486-4183

Other practice location 1

7777 S Redwood Rd
West Jordan, UT 84084-5518
Phone (866) 389-7709

Other practice location 2

531 Queen Anne Ave N
Seattle, WA 98109-4521
Phone (866) 389-2727

Other practice location 3

925 California Ave
Wahiawa, HI 96786-2123
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, HI, UT, NM, TX, IL, MN, NV, DC, IN, NE, MI, GA, NY14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20120124000438 AK Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20160909001305 HI Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20220215001301 UT Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20240212003379 NM Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20240219001644 TX Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20241031001941 IL Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 2 organizations
I20241031002613 MN Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20241101002181 NV Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20241105003509 DC Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20241217003582 IN Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20250328001819 NE Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20250328002058 MI Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20250820001053 GA Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization
I20251024000962 NY Practitioner - Nurse Practitioner 3476720921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Pacific Medical CenterGroup PAC ID 6608768858, 2 clinicians
Minuteclinic Diagnostic Medical Group of California IncGroup PAC ID 8224191374, 26 clinicians

Practice addresses (Care Compare)

104 Ctr Ave
Suite 100
Kodiak, AK 99615-6393
Phone (907) 486-4183

511 N Hollywood Way
Burbank, CA 91505-3406
Phone (866) 389-2727

Hospital & facility affiliations

  • Providence Kodiak Island Medical Ctr Hospital, Kodiak, AK, CCN 021306

Merit-based Incentive Payment System (MIPS)

Final score
80.12 of 100Reported as group
Quality
75.08
Improvement activities
40
Cost
79.41

Merit-based Incentive Payment System (MIPS)

Final score
76.58 of 100Reported as group
Quality
74.05
Improvement activities
40
Cost
56.66

Merit-based Incentive Payment System (MIPS)

Final score
85.68 of 100Reported as group
Quality
76.52
Improvement activities
40
Cost
95.33

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
65.04
Improvement activities
40
Cost
86.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
356558NYMDRegistered Nurse
22890CAMDSpeech-Language Pathologist
NURU1259AKMDFamily Nurse Practitioner
APN.0997594-NPCOMDFamily Nurse Practitioner
NP200003188DCMDFamily Nurse Practitioner
2116HIMDFamily Nurse Practitioner
70426IDMDFamily Nurse Practitioner
209.030112ILMDFamily Nurse Practitioner
11304MNMDFamily Nurse Practitioner
APRN-193044MTMDFamily Nurse Practitioner
R52095NDMDFamily Nurse Practitioner
67623NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Oct 17, 2024 Accepting new patients
Minuteclinic Diagnostic of Nebraska, LLC Family CurrentSince Mar 4, 2025 Accepting new patients
MC Medical Group of Nevada, P.C Family CurrentSince Oct 17, 2024 Accepting new patients
Kevin Creelman, MD, PC CurrentSince Dec 17, 2023 Accepting new patients
Minuteclinic Diagnostic of New Mexico, LLC Family CurrentSince Jan 25, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Jan 11, 2024 Accepting new patients
North Pacific Medical Center CurrentSince Apr 6, 2024 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince Oct 17, 2024 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Jan 25, 2024 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Oct 17, 2024 Accepting new patients
Minuteclinic Diagnostic of Utah, LLC Family CurrentSince Nov 2, 2021 Accepting new patients
MC Medical Group of DC, PC Family CurrentSince Oct 17, 2024 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Aug 28, 2016 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Dec 6, 2024 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Jul 15, 2025 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince Jan 18, 2025 Accepting new patients

Locations (25 of 30)

104 Center Ave
Ste 100
Kodiak, AK 99615
Phone (907) 486-4183

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

320 40th St NE
Washington, DC 20019
Phone (202) 236-1840

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

925 California Ave
Wahiawa, HI 96786
Phone (808) 621-7772

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

4401 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 891-7731

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

6901 S 84th St
Lavista, NE 68128
Phone (402) 339-1090

5566 S 56th St
Lincoln, NE 68516
Phone (402) 423-3839

7002 O St
Lincoln, NE 68510
Phone (402) 467-5342

9640 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 294-4167

4340 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 252-0599

1825 E Warm Springs Rd
Las Vegas, NV 89119
Phone (702) 361-4873

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: doriannewilliams@npmc.ssdirect.aprima.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1992080139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CENTER AVE STE 100",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156393",
            "telephone_number": "907-486-4183",
            "fax_number": "907-486-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CENTER AVE STE 100",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156393",
            "telephone_number": "907-486-4183",
            "fax_number": "907-486-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 S Redwood Rd",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840845518",
            "country_code": "US",
            "telephone_number": "866-389-7709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "531 Queen Anne Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981094521",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 California Ave",
            "address_purpose": "LOCATION",
            "city": "Wahiawa",
            "state": "HI",
            "postal_code": "967862123",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DORIANNE",
        "middle_name": "EMILY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "271889",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12244942-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2116",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997594-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22890",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61155657",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP200003188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "70426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.030112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN-193044",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R52095",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "67623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "845523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "NURU1259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, AK

Sources for this page

Verify at the official NPI Registry.