BRENT WILLIS CRNA
NPI 1104363258
Nurse Anesthetist, Certified Registered in Texarkana, TX
About Brent Willis Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENT WILLIS CRNA (NPI 1104363258) is an individual nurse anesthetist, certified registered in Texarkana, Texas, licensed in Texas (AP133014) and active in the NPI registry since January 2017. He is affiliated with Christus Mother Frances Hospital and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Brent Willis Crna 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 Reassignments
6Medicare enrollment records show Brent Willis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Texarkana, TX 75503
- Reassigned Medicare billing, Texas enrollment
- 76 clinicians in this Medicare group
Paris, TX 75460
- Reassigned Medicare billing, Texas enrollment
- 20 clinicians in this Medicare group
Addison, TX 75001
- Reassigned Medicare billing, Texas enrollment
- 513 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Texas enrollment
- 1,164 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Corpus Christi, TX 78412
- Reassigned Medicare billing, Texas enrollment
- 740 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Mother Frances Hospital
Acute Care Hospitals · Tyler, TXChristus St Michael Health System
Acute Care Hospitals · Texarkana, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75501 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.
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 Brent Willis's NPI number?
The NPI number for Brent Willis is 1104363258. It was assigned to this individual provider in the NPPES registry on January 27, 2017.
Where is Brent Willis located?
Brent Willis practices at 203 La Grange Dr., Texarkana, TX 75501. The listed phone number is (936) 645-5428.
What is Brent Willis's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Brent Willis enrolled in Medicare?
Yes. Brent Willis 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 organizations bill Medicare for Brent Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brent Willis reassigns Medicare benefits to 6 organizations: Christus Health Ark-La-Tex (Texarkana, TX), Essent Prmc LP (Paris, TX), Orthomed Staffing LLC (Addison, TX), Northstar Anesthesia, PA (Arlington, TX), Emergenchealth PLLC (Fort Worth, TX) and 1 more organization, listed in the Medicare section above. Each 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 Brent Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brent Willis accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Brent 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.
Is Brent Willis affiliated with any hospitals?
According to CMS data, Brent Willis is affiliated with Christus Mother Frances Hospital and Christus St Michael Health System.
When was this NPI record last updated?
The NPPES record for Brent Willis was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Brent Willis, CRNA · NPI 1104363258
Nurse Anesthetist, Certified Registered physician in Texarkana, Texas. Individual provider, active in the CMS NPPES registry since January 27, 2017.
## Identity
- **NPI:** 1104363258 (Entity type: Individual)
- **Enumerated:** January 27, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP133014 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 203 LA GRANGE DR., Texarkana, TX 75501
- **Phone:** (936) 645-5428
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Christus Health Ark-La-Tex (NPI 1790162238, Texarkana, TX); Essent Prmc LP (NPI 1154341519, Paris, TX); Orthomed Staffing LLC (NPI 1225514276, Addison, TX); Northstar Anesthesia, PA (NPI 1912978610, Arlington, TX); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 27, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1104363258) · Data from the CMS NPPES public registry.