JENNIFER R WILLIS NP
NPI 1043526064
Nurse Practitioner in Louisville, KY

Q: What is Jennifer Willis's NPI number?

The NPI number for Jennifer Willis is 1043526064. It was assigned to this individual provider in the NPPES registry on August 27, 2010. The provider is also known as Jennifer R. Lipsey.

Q: What is Jennifer Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Willis was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 27, 2010PECOS Enrolled

601 S FLOYD ST STE 700, LOUISVILLE, KY 40202(502) 629-7181(502) 629-6957 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jennifer R Willis Np NPPES

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

JENNIFER R WILLIS NP (NPI 1043526064) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3006899) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043526064

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER R WILLISCredential: NP

Location Address601 S FLOYD ST STE 700Louisville, KY 40202-1845

Mailing AddressPo Box 766351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 629-7181

Fax(502) 629-6957

Sole ProprietorNo

Enumeration DateAugust 27, 2010

Last NPPES UpdateOctober 17, 2016

✔ NPI 1043526064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3006899

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 28178246A (IN), 1083742 (KY)

601 S FLOYD ST STE 700, Louisville, KY 40202

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Other Names 1

Former Name (1)Jennifer R. Lipsey

Other Identifiers 6

Medicaid7100205410KY

Other50040392KY · Passport - Nmfm

Medicaid201009490IN

Other000000772805KY · Anthem-nmfm

Other137155KY · Siho - Nmfm

Medicare PINK050750KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer R Willis Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Associates, Inc.

1.9 mi

Family Medicine

720 W HILL ST
Louisville, KY 40208

Reassigned Medicare billing, Kentucky enrollment
1,896 clinicians in this Medicare group

NPI 1245312503 (502) 636-3164

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 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

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 6

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

MISS ABBI AUGER

Advanced Practice Midwife