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

Active since August 27, 2010PECOS EnrolledAccepts Medicare Assignment
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: July 19, 2026.

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 and is a graduate of Other (2005).

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
Fax(502) 629-6957
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer R 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.

PECOS PAC ID5597946640
PECOS Enrollment IDI20120801000557
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.

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
601 S FLOYD ST STE 700
LOUISVILLE, KY 40202
Obstetrics & Gynecology (Maternal & Fetal Medicine)
601 S FLOYD ST STE 700
LOUISVILLE, KY 40202
Nurse Practitioner
601 S FLOYD ST STE 700
LOUISVILLE, KY 40202
Advanced Practice Midwife
601 S FLOYD ST STE 700
LOUISVILLE, KY 40202
Dietitian, Registered
601 S FLOYD ST STE 700
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
601 S FLOYD ST STE 700
LOUISVILLE, KY 40202

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 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.

Where is Jennifer Willis located?

Jennifer Willis practices at 601 S Floyd St Ste 700, Louisville, KY 40202. The listed phone number is (502) 629-7181.

What is Jennifer Willis's specialty?

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

Is Jennifer Willis enrolled in Medicare?

Yes. Jennifer 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.

What insurance does Jennifer Willis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jennifer 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 Jennifer Willis was last updated on October 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.