MRS. PAYTON WILLIS NP
NPI 1043028939
Nurse Practitioner in Harrison, AR
About Mrs. Payton Willis Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PAYTON WILLIS NP (NPI 1043028939) is an individual nurse practitioner in Harrison, Arkansas, licensed in Arkansas (217530) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mrs. Payton Willis Np 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 Payton Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harrison, AR 72601
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1376817304 (Arkansas)
- 31 clinicians in this Medicare group
Searcy, AR 72143
- Reassigned Medicare billing, Arkansas enrollment
- 208 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 72601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Payton Willis's NPI number?
The NPI number for Payton Willis is 1043028939. It was assigned to this individual provider in the NPPES registry on December 23, 2024. The provider is also known as Miss Payton Tennison Np.
Where is Payton Willis located?
Payton Willis practices at 808 Us-65, Harrison, AR 72601. The listed phone number is (870) 204-7263.
What is Payton Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Payton Willis enrolled in Medicare?
Yes. Payton 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 Payton Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Payton Willis reassigns Medicare benefits to 2 organizations: North Arkansas Regional Medical Center (Harrison, AR) and Urgent Team Of Arkansas Physicians, LLC (Searcy, AR). 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 Payton Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Payton Willis accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Payton 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.
When was this NPI record last updated?
The NPPES record for Payton Willis was last updated on March 28, 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.
# Mrs. Payton Willis, NP · NPI 1043028939
Nurse Practitioner physician in Harrison, Arkansas. Individual provider, active in the CMS NPPES registry since December 23, 2024.
## Identity
- **NPI:** 1043028939 (Entity type: Individual)
- **Enumerated:** December 23, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 217530 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 808 US-65, Harrison, AR 72601
- **Phone:** (870) 204-7263
## 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): North Arkansas Regional Medical Center (NPI 1780941625, Harrison, AR); Urgent Team Of Arkansas Physicians, LLC (NPI 1992041370, Searcy, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043028939) · Data from the CMS NPPES public registry.