Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. William R Petricone III, RN

Individual provider Registered Nurse · NPI 1740087212

Mr. William R Petricone III, RN is a Nurse Practitioner in Austin, Texas. Qualified in 2025, 1 year ago. Practices with Mark Malone MD PA, a 101-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3418 N Lamar Blvd Ste 100
Austin, TX 78705-1176
Phone: (512) 244-4272
Fax: (512) 244-2895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Clinical Nurse Specialist (primary) Taxonomy 364SG0600X · Licence 1123512 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 1123512 (TX)
Clinical Nurse Specialist Taxonomy 364S00000X · Licence 1123512 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740087212
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mark Malone Md Pa — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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