DR. JENNIFER MICHELLE WILLIS MD
NPI 1063675106
Pediatrics - Pediatric Nephrology in Orlando, FL

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
615 E PRINCETON ST STE 401, ORLANDO, FL 32803(407) 303-9311(407) 303-9273 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 13, 2024, Dec 10, 2019 (2 updates tracked since 2019).

About Dr. Jennifer Michelle Willis Md NPPES

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

DR. JENNIFER MICHELLE WILLIS MD (NPI 1063675106) is an individual pediatric nephrology provider in Orlando, Florida, licensed in Florida (ME141361) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1063675106
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. JENNIFER MICHELLE WILLISCredential: MD
Location Address615 E PRINCETON ST STE 401Orlando, FL 32803-1469
Mailing Address615 E Princeton St Ste 401Orlando, FL 32803-1469 · (407) 303-9311 · Fax (407) 303-9273
Fax(407) 303-9273
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 9, 2008
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1063675106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses Licensed in FL · ME141361 Licensed in TX · Q2152 Licensed in IL · 036 121316
Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatricsTaxonomy 208000000X · License ME141361 (FL)
615 E PRINCETON ST STE 401, Orlando, FL 32803

Other Names 1

Former Name (1)Dr. Jennifer Michelle Willis Md

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

Dr. Jennifer Michelle Willis Md 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 ID2668640533
PECOS Enrollment IDI20200413002670
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.

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

Pediatrics (Pediatric Gastroenterology)
615 E PRINCETON ST STE 401
ORLANDO, FL 32803
Pediatrics (Pediatric Infectious Diseases)
615 E PRINCETON ST STE 401
ORLANDO, FL 32803
Nurse Practitioner (Pediatrics)
615 E PRINCETON ST STE 401
ORLANDO, FL 32803
Pediatrics (Pediatric Infectious Diseases)
615 E PRINCETON ST STE 401
ORLANDO, FL 32803
Nurse Practitioner (Pediatrics)
615 E PRINCETON ST STE 401
ORLANDO, FL 32803
Pediatrics (Pediatric Gastroenterology)
615 E PRINCETON ST STE 401
ORLANDO, FL 32803
Pediatrics (Pediatric Infectious Diseases)
615 E PRINCETON ST STE 401
ORLANDO, FL 32803
Pediatrics (Pediatric Nephrology)
615 E PRINCETON ST STE 401
ORLANDO, FL 32803

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 1063675106. It was assigned to this individual provider in the NPPES registry on July 9, 2008. The provider is also known as Dr. Jennifer Michelle Willis MD.

Where is Jennifer Willis located?

Jennifer Willis practices at 615 E Princeton St Ste 401, Orlando, FL 32803. The listed phone number is (407) 303-9311.

What is Jennifer Willis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer 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.

Is Jennifer Willis affiliated with any hospitals?

According to CMS data, Jennifer Willis is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Jennifer Willis was last updated on September 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.