NICOLE WILLIS D.C.
NPI 1093992539
Chiropractor in Meridian, ID

Q: What is Nicole Willis's NPI number?

The NPI number for Nicole Willis is 1093992539. It was assigned to this individual provider in the NPPES registry on January 28, 2008. The provider is also known as Dawn Nicole Willis D.C..

Q: What is Nicole Willis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Willis was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 28, 2008

1570 E HERITAGE PARK ST, STE 175, MERIDIAN, ID 83646(208) 322-4114(208) 322-4115 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Willis D.c. NPPES

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

NICOLE WILLIS D.C. (NPI 1093992539) is an individual chiropractor in Meridian, Idaho, licensed in Idaho (CHIA-1268) and active in the NPI registry since January 2008. She is a graduate of Cleveland Chiropractic College - Kansas City (2007).

NPPES Registry Identity

NPI1093992539

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameNICOLE WILLISCredential: D.C.

Location Address1570 E HERITAGE PARK ST, STE 175Meridian, ID 83646-6445

Mailing Address1570 E Heritage Park St, Ste 175Meridian, ID 83646-6445 · (208) 322-4114 · Fax (208) 322-4115

Phone(208) 322-4114

Fax(208) 322-4115

Sole ProprietorNo

Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2007

Enumeration DateJanuary 28, 2008

Last NPPES UpdateJanuary 31, 2020

✔ NPI 1093992539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in ID · CHIA-1268

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1570 E HERITAGE PARK ST, Meridian, ID 83646

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Other Names 1

Other Name (5)Dawn Nicole Willis D.c.

Other Identifiers 1

Other1370103Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID446328033

PECOS Enrollment IDI20081009000613

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

422 services29 patients

Other Providers at the Same Location NPPES

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

DR. MICHAEL W HURD D.D.S.

Dentist (General Practice)

1570 E HERITAGE PARK ST, SUITE 175
MERIDIAN, ID 83646

Ada County (208) 888-9645

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 Nicole Willis's NPI number?

The NPI number for Nicole Willis is 1093992539. It was assigned to this individual provider in the NPPES registry on January 28, 2008. The provider is also known as Dawn Nicole Willis D.C..

Where is Nicole Willis located?

Nicole Willis practices at 1570 E Heritage Park St Ste 175, Meridian, ID 83646. The listed phone number is (208) 322-4114.

What is Nicole Willis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nicole Willis enrolled in Medicare?

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

What insurance does Nicole Willis accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Nicole 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 Nicole Willis was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.