THOMAS JAMES WILLIS ACNPC-AG
NPI 1104538834
Nurse Practitioner - Acute Care in Ocala, FL

Active since December 13, 2022PECOS EnrolledAccepts Medicare Assignment
2111 SW 20TH PL, OCALA, FL 34471(352) 547-3399(352) 622-0102 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2024, Dec 13, 2022 (2 updates tracked since 2022).

About Thomas James Willis Acnpc-ag NPPES

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

THOMAS JAMES WILLIS ACNPC-AG (NPI 1104538834) is an individual acute care provider in Ocala, Florida, licensed in Florida (APRN11023470) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ocala, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104538834
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameTHOMAS JAMES WILLISCredential: ACNPC-AG
Location Address2111 SW 20TH PLOcala, FL 34471-7734
Mailing Address7606 Sw 65th Place RdOcala, FL 34474-1647 · (352) 454-5983
Fax(352) 622-0102
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 13, 2022
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
NPI 1104538834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · APRN11023470
2111 SW 20TH PL, Ocala, FL 34471

Secondary Practice Location 1

Location 17606 SW 65th Place RdOcala, FL 34474-1647 · Phone (352) 454-5983

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas James Willis Acnpc-ag 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.

PECOS PAC ID9830550326
PECOS Enrollment IDI20230731003732
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 34471 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 (Medical)
2111 SW 20TH PL
OCALA, FL 34471
Physician Assistant (Medical)
2111 SW 20TH PL
OCALA, FL 34471
Nurse Practitioner
2111 SW 20TH PL
OCALA, FL 34471
Nurse Practitioner (Family)
2111 SW 20TH PL
OCALA, FL 34471
Internal Medicine (Cardiovascular Disease)
2111 SW 20TH PL
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
2111 SW 20TH PL
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
2111 SW 20TH PL
OCALA, FL 34471
Nurse Practitioner (Family)
2111 SW 20TH PL
OCALA, FL 34471

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 Thomas Willis's NPI number?

The NPI number for Thomas Willis is 1104538834. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Thomas Willis located?

Thomas Willis practices at 2111 SW 20th Pl, Ocala, FL 34471. The listed phone number is (352) 547-3399.

What is Thomas Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Thomas Willis enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Willis accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Thomas 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 Thomas Willis was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.