KATELYN ROSE WILLIS
NPI 1003613316
Nurse Practitioner - Family in Idaho Falls, ID
About Katelyn Rose Willis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN ROSE WILLIS (NPI 1003613316) is an individual family provider in Idaho Falls, Idaho, licensed in Idaho (4071550) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katelyn Rose Willis 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mountain View Hospital
Acute Care Hospitals · Idaho Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Katelyn Willis's NPI number?
The NPI number for Katelyn Willis is 1003613316. It was assigned to this individual provider in the NPPES registry on February 26, 2025.
Where is Katelyn Willis located?
Katelyn Willis practices at 3230 Nina Dr, Idaho Falls, ID 83404. The listed phone number is (208) 243-6077.
What is Katelyn Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Katelyn Willis enrolled in Medicare?
Yes. Katelyn 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.
What insurance does Katelyn Willis accept?
Health plans from Providence Health Plan and University of Utah Health Plans list Katelyn Willis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Katelyn Willis affiliated with any hospitals?
According to CMS data, Katelyn Willis is affiliated with Mountain View Hospital.
When was this NPI record last updated?
The NPPES record for Katelyn Willis was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Katelyn Rose Willis · NPI 1003613316
Family physician in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since February 26, 2025.
## Identity
- **NPI:** 1003613316 (Entity type: Individual)
- **Enumerated:** February 26, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4071550 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 3230 NINA DR, Idaho Falls, ID 83404-7428
- **Phone:** (208) 243-6077
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1003613316) · Data from the CMS NPPES public registry.