MRS. MARY ELIZABETH O'BOYLE WILLIS FNP
NPI 1003035148
Nurse Practitioner - Family in Richmond, VA

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS, RICHMOND, VA 23298(804) 628-0189(804) 828-6301 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Mary Elizabeth O'boyle Willis Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELIZABETH O'BOYLE WILLIS FNP (NPI 1003035148) is an individual family provider in Richmond, Virginia, licensed in California (95014800) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in South San Francisco, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1003035148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY ELIZABETH O'BOYLE WILLISCredential: FNP
Location Address1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICSRichmond, VA 23298-5051
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-6301
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 25, 2007
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1003035148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95014800✔ Licensed in VA · 0024167014
1250 E MARSHALL ST, Richmond, VA 23298

Secondary Practice Location 1

Location 1611 Gateway Blvd Ste 120South San Francisco, CA 94080-7066 · Phone (650) 761-4056

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Elizabeth O'boyle Willis Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709953516
PECOS Enrollment IDI20250814003732, I20251029001956
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Elizabeth Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2021 GUADALUPE ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dreem Sleep Clinic PA
  • 18 clinicians in this Medicare group
Multi-Specialty
611 GATEWAY BLVD STE 120
South San Francisco, CA 94080
  • Reassigned Medicare billing, California enrollment
  • 37 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Nurse Practitioner (Family)
1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298
Internal Medicine
1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298
Internal Medicine (Geriatric Medicine)
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298
Physician Assistant
1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
1250 E MARSHALL ST
RICHMOND, VA 23298
Nurse Practitioner (Acute Care)
1250 E MARSHALL ST
RICHMOND, VA 23298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Elizabeth Willis's NPI number?

The NPI number for Mary Elizabeth Willis is 1003035148. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Mary Elizabeth Willis located?

Mary Elizabeth Willis practices at 1250 E Marshall St Department Of Pediatrics, Richmond, VA 23298. The listed phone number is (804) 628-0189.

What is Mary Elizabeth Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Elizabeth Willis enrolled in Medicare?

Yes. Mary Elizabeth Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Elizabeth Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Elizabeth Willis reassigns Medicare benefits to 2 organizations: Dreem Sleep Clinic, P.A. (Austin, TX) and Dreem Sleep Clinic Of California (South San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Elizabeth Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Elizabeth Willis was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.