MRS. HAIDY DENISE WILLIS PMHNP
NPI 1023395142
Registered Nurse - Psychiatric/Mental Health, Adult in Atascadero, CA

Q: What is Haidy Willis's NPI number?

The NPI number for Haidy Willis is 1023395142. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Q: What is Haidy Willis's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Q: When was this NPI record last updated?

The NPPES record for Haidy Willis was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since November 03, 2011PECOS Enrolled

10333 EL CAMINO REAL, ATASCADERO, CA 93422(805) 468-2000(805) 468-6011 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Haidy Denise Willis Pmhnp NPPES

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

MRS. HAIDY DENISE WILLIS PMHNP (NPI 1023395142) is an individual psychiatric/mental health, adult provider in Atascadero, California, licensed in California (NP 22719) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023395142

Entity TypeIndividualFemale

Primary Taxonomy163WP0809X

Provider Legal NameMRS. HAIDY DENISE WILLISCredential: PMHNP

Location Address10333 EL CAMINO REALAtascadero, CA 93422-5808

Mailing Address1600 9th Street, Room 150, Fiscal Allocations And Estimates UnitSacramento, CA 95814-6414 · (916) 651-9475 · Fax (916) 651-8908

Phone(805) 468-2000

Fax(805) 468-6011

Sole ProprietorNo

Enumeration DateNovember 3, 2011

Last NPPES UpdateJuly 10, 2013

✔ NPI 1023395142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

License✔ Licensed in CA · NP 22719

10333 EL CAMINO REAL, Atascadero, CA 93422

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Haidy Denise Willis Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

GIZELLA MARIA RAYMOND N.P., R.N.

Nurse Practitioner (Psychiatric/Mental Health)