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SUSAN WILLIS MD
NPI 1043315187
Psychiatry & Neurology - Psychiatry in Seattle, WA

Active since September 13, 2006Opted out of Medicare · through Oct 1, 2027
3123 FAIRVIEW AVE E, SEATTLE, WA 98102(206) 324-4500(206) 328-1257 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Willis Md NPPES

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

SUSAN WILLIS MD (NPI 1043315187) is an individual psychiatry provider in Seattle, Washington, licensed in Washington (MD00028003) and active in the NPI registry since September 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043315187
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUSAN WILLISCredential: MD
Location Address3123 FAIRVIEW AVE ESeattle, WA 98102-3051
Mailing Address3123 Fairview Ave ESeattle, WA 98102-3051 · (206) 324-4500 · Fax (206) 328-1257
Phone(206) 324-4500
Fax(206) 328-1257
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1043315187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · MD00028003
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3123 FAIRVIEW AVE E, Seattle, WA 98102
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Other Identifiers 2

Medicaid1066174WA
Medicare UPINE98471WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Willis Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98102 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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 9

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

BRIEN RICHARD WOOD MA
Counselor (Mental Health)
3123 FAIRVIEW AVE E
SEATTLE, WA 98102
King County (206) 571-3069
STEPHANIE KOWALS MD
Psychiatry & Neurology (Psychiatry)
3123 FAIRVIEW AVE E, SUITE E
SEATTLE, WA 98102
King County (206) 324-4500
CAROL COLE PHD
Psychologist (Clinical)
3123 FAIRVIEW AVE E
SEATTLE, WA 98102
King County (206) 324-4500
DEBORAH SCHOR MSW
Social Worker (Clinical)
3123 FAIRVIEW AVE E
SEATTLE, WA 98102
King County (206) 324-4500
KENNEDY THERAPY
Marriage & Family Therapist
3123 FAIRVIEW AVE E
SEATTLE, WA 98102
King County (206) 795-0104
OLIVIA TARR MA, LMFTA
Marriage & Family Therapist
3123 FAIRVIEW AVE E
SEATTLE, WA 98102
King County (206) 779-2029
LYNDA TREGER MSW
Social Worker (Clinical)
3123 FAIRVIEW AVE E
SEATTLE, WA 98102
King County (206) 324-4500
MR. SHAUN ANTHONY RICH MA, LMFT, CMHS
Counselor (Professional)
3123 FAIRVIEW AVE E, SUITE C
SEATTLE, WA 98102
King County (206) 595-5094

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 Susan Willis's NPI number?

The NPI number for Susan Willis is 1043315187. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Susan Willis located?

Susan Willis practices at 3123 Fairview Ave E, Seattle, WA 98102. The listed phone number is (206) 324-4500.

What is Susan Willis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Susan Willis enrolled in Medicare?

No. Susan Willis has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Willis was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.