DR. LEE WILLIS D.C.
NPI 1053498964
Chiropractor in Bedford, VA

Active since November 01, 2006Accepts Medicare Assignment
1508 LONGWOOD AVE, BEDFORD, VA 24523(540) 583-5749 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Lee Willis D.c. NPPES

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

DR. LEE WILLIS D.C. (NPI 1053498964) is an individual chiropractor in Bedford, Virginia, licensed in Virginia (0104001278) and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - Davenport (1992).

NPPES Registry Identity

NPI1053498964
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. LEE WILLISCredential: D.C.
Location Address1508 LONGWOOD AVEBedford, VA 24523-2209
Mailing Address1239 Oakwood StBedford, VA 24523-1611 · (276) 613-1296
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1992
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1053498964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104001278
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1508 LONGWOOD AVE, Bedford, VA 24523

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

Dr. Lee Willis D.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 ID5991964454
PECOS Enrollment IDI20120302000473

Medicare Billing Reassignment

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

Chiropractor
1508 LONGWOOD AVE
Bedford, VA 24523
  • Reassigned Medicare billing, Virginia enrollment
  • 2 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.

Other Providers at the Same Location NPPES 2

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

Chiropractor
1508 LONGWOOD AVE
BEDFORD, VA 24523
Chiropractor
1508 LONGWOOD AVE
BEDFORD, VA 24523

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 Lee Willis's NPI number?

The NPI number for Lee Willis is 1053498964. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Lee Willis located?

Lee Willis practices at 1508 Longwood Ave, Bedford, VA 24523. The listed phone number is (540) 583-5749.

What is Lee Willis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lee Willis enrolled in Medicare?

Yes. Lee 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 organization bills Medicare for Lee Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Willis reassigns Medicare benefits to Peaks View Chiropractic And Acupuncture, PLLC (Bedford, VA). The 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 Lee Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Willis was last updated on April 2, 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.