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DAKOTAH WILLIS PA-C
NPI 1053005959
Physician Assistant in Jackson, TN

Active since June 05, 2023PECOS EnrolledAccepts Medicare Assignment
657 SKYLINE DR, JACKSON, TN 38301(731) 541-2250 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Jun 5, 2023 (2 updates tracked since 2023).

About Dakotah Willis Pa-c NPPES

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

DAKOTAH WILLIS PA-C (NPI 1053005959) is an individual physician assistant in Jackson, Tennessee, licensed in Tennessee (5329) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053005959
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDAKOTAH WILLISCredential: PA-C
Location Address657 SKYLINE DRJackson, TN 38301-3907
Mailing Address657 Skyline DrJackson, TN 38301-3907
Phone(731) 541-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 5, 2023
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1053005959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 5329
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
657 SKYLINE DR, Jackson, TN 38301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Dakotah Willis Pa-c 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 ID8224497730
PECOS Enrollment IDI20230630002150
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 8

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

WILLIAM TERRY HOLT
Podiatrist (Primary Podiatric Medicine)
657 SKYLINE DR, SUITE A
JACKSON, TN 38301
Madison County (731) 427-5581
PODIATRY CLINIC OF JACKSON PLLC
Podiatrist (Primary Podiatric Medicine)
657 SKYLINE DR, STE A
JACKSON, TN 38301
Madison County (731) 427-5581
ELLIOTT C ROBERTS JR. MD
Obstetrics & Gynecology
657 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-8425
DR. CHRISTOPHER E RICKMAN MD
Obstetrics & Gynecology
657 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-8425
ALLISON H MILLER O.D.
Optometrist
657 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 660-3937
ARMIE W WALKER MD
Obstetrics & Gynecology
657 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 660-8759
DR. WILLIAM TERRY HOLT DPM
Podiatrist
657 SKYLINE DR, SUITE A
JACKSON, TN 38301
Madison County (731) 427-5581
NICOLAS ARCURI DPM
Podiatrist (Foot & Ankle Surgery)
657 SKYLINE DR, SUITE A
JACKSON, TN 38301
Madison County (731) 427-5581

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 Dakotah Willis's NPI number?

The NPI number for Dakotah Willis is 1053005959. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Dakotah Willis located?

Dakotah Willis practices at 657 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-2250.

What is Dakotah Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dakotah Willis enrolled in Medicare?

Yes. Dakotah 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 Dakotah Willis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Dakotah 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.

Is Dakotah Willis affiliated with any hospitals?

According to CMS data, Dakotah Willis is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Dakotah Willis was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.