AUSTIN GLENN WILLIS DO
NPI 1083034920
Pediatrics in Albuquerque, NM
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Austin Glenn Willis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Austin Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- Also billed through NPI 1790761138 (New Mexico), NPI 1558347708 (New Mexico), NPI 1962488304 (New Mexico)
- 2,331 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.
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.
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.
ALBUQUERQUE, NM 87106
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.
Which organization bills Medicare for Austin Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Austin Willis reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). 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 Austin 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 Austin Willis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Austin Glenn Willis, DO · NPI 1083034920
Pediatrics physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since April 18, 2014.
## Identity
- **NPI:** 1083034920 (Entity type: Individual)
- **Enumerated:** April 18, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A-2075-17 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 CENTRAL AVE SE, Albuquerque, NM 87106-4930
- **Phone:** (505) 841-1063
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Presbyterian Healthcare Services (NPI 1215913470, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 32103778 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1083034920) · Data from the CMS NPPES public registry.