DR. WILLIS TYLER NICHOLS M.D.
NPI 1063722684
Surgery in Foley, AL
About Dr. Willis Tyler Nichols M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WILLIS TYLER NICHOLS M.D. (NPI 1063722684) is an individual surgery provider in Foley, Alabama, licensed in Alabama (34161) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
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. Willis Tyler Nichols M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Willis Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gulf Shores, AL 36542
- Reassigned Medicare billing, Alabama enrollment
- 112 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.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Willis Nichols's NPI number?
The NPI number for Willis Nichols is 1063722684. It was assigned to this individual provider in the NPPES registry on October 15, 2010.
Where is Willis Nichols located?
Willis Nichols practices at 1711 N Mckenzie St Ste 201, Foley, AL 36535. The listed phone number is (251) 424-1620.
What is Willis Nichols's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Willis Nichols enrolled in Medicare?
Yes. Willis Nichols 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 Willis Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willis Nichols reassigns Medicare benefits to Foley Clinic Corp (Gulf Shores, AL). 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 Willis Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Willis Nichols accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Willis Nichols 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 Willis Nichols was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Willis Tyler Nichols, M.D. · NPI 1063722684
Surgery physician in Foley, Alabama. Individual provider, active in the CMS NPPES registry since October 15, 2010.
## Identity
- **NPI:** 1063722684 (Entity type: Individual)
- **Enumerated:** October 15, 2010
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 34161 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1711 N MCKENZIE ST STE 201, Foley, AL 36535-2282
- **Phone:** (251) 424-1620 · **Fax:** (251) 952-6620
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Foley Clinic Corp (NPI 1629027826, Gulf Shores, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** October 14, 2025
- **Other identifiers:** Medicaid 214769 (AL); Medicaid 105926100 (FL); Medicaid 211911 (AL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063722684) · Data from the CMS NPPES public registry.