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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Katelyn Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 298 clinicians in this Medicare group
Idaho Falls, ID 83402
- Reassigned Medicare billing, Idaho enrollment
- 38 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.
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.
Which organizations bill Medicare for Katelyn Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Willis reassigns Medicare benefits to 2 organizations: Mountain View Hospital LLC (Idaho Falls, ID) and Community Care West Side LLC (Idaho Falls, ID). 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 Katelyn Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Willis accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer 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 19 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
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mountain View Hospital LLC (NPI 1669462362, Idaho Falls, ID); Community Care West Side LLC (NPI 1295009785, Idaho Falls, ID) · CMS Revalidation Reassignment List, October 2026 release
- **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.