1. Home
  2. Directory
  3. Alabama
  4. Dothan
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

AMBER WILLIS
NPI 1093544827
Nurse Anesthetist, Certified Registered in Dothan, AL

Active since July 30, 2024
1450 ROSS CLARK CIR, DOTHAN, AL 36301(334) 793-5105 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2026, Jul 30, 2024 (2 updates tracked since 2024).

About Amber Willis NPPES

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

AMBER WILLIS (NPI 1093544827) is an individual nurse anesthetist, certified registered in Dothan, Alabama, licensed in Alabama (3-002594) and active in the NPI registry since July 2024. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1093544827
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMBER WILLIS
Location Address1450 ROSS CLARK CIRDothan, AL 36301-4765
Mailing Address1118 Ross Clark Cir Ste 700Dothan, AL 36301-3043 · (334) 793-5105
Phone(334) 793-5105
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 30, 2024
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1093544827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 3-002594
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1450 ROSS CLARK CIR, Dothan, AL 36301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID244720795
PECOS Enrollment IDI20251104003223

Medicare Billing Reassignment

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

Anesthesia Consultants Medical Group PC
1.1 mi
Nurse Anesthetist, Certified Registered
1118 ROSS CLARK CIR, SUITE 700
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 52 clinicians in this Medicare group
NPI 1902885874 (334) 793-5105

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 12

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

ROSS CLARK CIRCLE DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1450 ROSS CLARK CIR, STE 200
DOTHAN, AL 36301
Houston County (334) 792-8907
SANCTUARY COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1450 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 794-2113
DOTHAN SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1450 ROSS CLARK CIR, SUITE 4
DOTHAN, AL 36301
Houston County (334) 793-3442
RACHEL M WEBB
Nurse Anesthetist, Certified Registered
1450 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-5105
RELATIONSHIP BUILDERS, INC.
Marriage & Family Therapist
1450 ROSS CLARK CIR, SUITE 3
DOTHAN, AL 36301
Houston County (334) 794-2113
HOUSTON COUNTY HEALTHCARE AUTHORITY
Psychiatry & Neurology (Psychiatry)
1450 ROSS CLARK CIR, SUITE 400A
DOTHAN, AL 36301
Houston County (334) 794-4582
HANNAH R REID CRNA
Nurse Anesthetist, Certified Registered
1450 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-5105
MICHAEL GRIFFIN PC
Optometrist
1450 ROSS CLARK CIR, SUITE 400
DOTHAN, AL 36301
Houston County (334) 479-0043

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 Amber Willis's NPI number?

The NPI number for Amber Willis is 1093544827. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Amber Willis located?

Amber Willis practices at 1450 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 793-5105.

What is Amber Willis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Amber Willis enrolled in Medicare?

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

Which organization bills Medicare for Amber Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Willis reassigns Medicare benefits to Anesthesia Consultants Medical Group PC (Dothan, 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 Amber Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Willis accept?

Health plans from Blue Cross and Blue Shield of Alabama list Amber 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.

When was this NPI record last updated?

The NPPES record for Amber Willis was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.