AUSTIN GLENN WILLIS DO
NPI 1083034920
Pediatrics in Albuquerque, NM

Active since April 18, 2014PECOS Enrolled
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(505) 841-1063 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Austin Glenn Willis Do NPPES

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

AUSTIN GLENN WILLIS DO (NPI 1083034920) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (A-2075-17) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083034920
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameAUSTIN GLENN WILLISCredential: DO
Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Sole ProprietorNo
Enumeration DateApril 18, 2014
Last NPPES UpdateJuly 21, 2022
NPI 1083034920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in NM · A-2075-17 Licensed in TX · BP1-0059381
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1100 CENTRAL AVE SE, Albuquerque, NM 87106

Other Identifiers 1

Medicaid32103778NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Austin Glenn Willis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 20

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

Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106

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 Austin Willis's NPI number?

The NPI number for Austin Willis is 1083034920. It was assigned to this individual provider in the NPPES registry on April 18, 2014.

Where is Austin Willis located?

Austin Willis practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 841-1063.

What is Austin Willis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Austin Willis enrolled in Medicare?

Yes. Austin Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Austin Willis was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.