DEKETRA MCDOWELL-WILLIS APRN
NPI 1124429386
Nurse Practitioner in Las Vegas, NV

Q: What is Deketra Mcdowell-willis's NPI number?

The NPI number for Deketra Mcdowell-willis is 1124429386. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Q: What is Deketra Mcdowell-willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 08, 2014PECOS EnrolledAccepts Medicare Assignment

63.93/100

CMS Quality Rating

2000 WELLNESS WAY, LAS VEGAS, NV 89106(702) 384-5101(702) 387-0104 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Deketra Mcdowell-willis Aprn NPPES

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

DEKETRA MCDOWELL-WILLIS APRN (NPI 1124429386) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (APRN001767) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124429386

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDEKETRA MCDOWELL-WILLISCredential: APRN

Location Address2000 WELLNESS WAYLas Vegas, NV 89106-4113

Mailing AddressPo Box 81345Las Vegas, NV 89180-1345 · (702) 384-5101 · Fax (702) 382-5675

Phone(702) 384-5101

Fax(702) 387-0104

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 8, 2014

Last NPPES UpdateNovember 14, 2019

✔ NPI 1124429386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NV · APRN001767

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2000 WELLNESS WAY, Las Vegas, NV 89106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.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

Deketra Mcdowell-willis Aprn 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 ID446561997

PECOS Enrollment IDI20150624002067

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.

Medicare Billing Reassignments

Medicare enrollment records show Deketra Mcdowell-willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Associates, Inc.

Same address

Pulmonary Disease

2000 WELLNESS WAY
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
17 clinicians in this Medicare group

NPI 1952436115 (702) 384-5101

Serenity Mental Health

3.8 mi

Mental Health

1901 S JONES BLVD
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment
15 clinicians in this Medicare group

NPI 1497047203 (702) 815-1550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

154 services101 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

129 services34 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

92 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

82 services70 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

31 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290021

Location620 Shadow LaneLas Vegas, NV 89106 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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.

63.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.89

Promoting Interoperability

Improvement Activities

Cost

53.88

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers20 claims20 services$41.28 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers23 claims43 services$1.26 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers22 claims23 services$87.19 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers17 claims45 services$32.55 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers12 claims67 services$22.29 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers17 claims17 services$61.85 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers23 claims23 services$18.54 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers15 claims15 services$11.95 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers36 claims176 services$2.37 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers13 claims13 services$12.86 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

8 suppliers282 claims282 services$14.34 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers87 claims87 services$914.29 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

8 suppliers87 claims87 services$5.34 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers60 claims60 services$36.37 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

12 suppliers609 claims611 services$66.10 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

8 suppliers144 claims144 services$34.50 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims840 services$6.56 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

14 suppliers52 claims12,472 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

7 suppliers24 claims2,850 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers14 claims840 services$0.83 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

2 suppliers12 claims753 services$0.16 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims63,000 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$35.57 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

20 suppliers84 claims84 services$24.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

CAMILLE AGBUYA

Nurse Practitioner (Family)

2000 WELLNESS WAY
LAS VEGAS, NV 89106

Clark County (702) 384-5101

JEROME KARL HRUSKA D.O.

Internal Medicine (Pulmonary Disease)

2000 WELLNESS WAY
LAS VEGAS, NV 89106

Clark County (702) 384-5101

JENESA SANCHEZ AGUILUZ-DIZON APRN

Nurse Practitioner (Acute Care)

2000 WELLNESS WAY
LAS VEGAS, NV 89106

Clark County (702) 384-5101

ANGELA GREENHALGH APRN

Nurse Practitioner

2000 WELLNESS WAY
LAS VEGAS, NV 89106

Clark County (702) 384-5101

JULIEA SMITH NP

Nurse Practitioner (Critical Care Medicine)

2000 WELLNESS WAY
LAS VEGAS, NV 89106

Clark County (702) 384-5101

JACQUESE MICHELLE LAWHORN APRN

Nurse Practitioner

2000 WELLNESS WAY
LAS VEGAS, NV 89106

Clark County (702) 384-5101

YUKO H SWEATT APRN

Nurse Practitioner (Family)

2000 WELLNESS WAY
LAS VEGAS, NV 89106

Clark County (702) 384-5101

MR. HORACIO JOSE BERNARDO APRN

Nurse Practitioner (Acute Care)

2000 WELLNESS WAY
LAS VEGAS, NV 89106

Clark County (702) 384-5101

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 Deketra Mcdowell-willis's NPI number?

The NPI number for Deketra Mcdowell-willis is 1124429386. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Deketra Mcdowell-willis located?

Deketra Mcdowell-willis practices at 2000 Wellness Way, Las Vegas, NV 89106. The listed phone number is (702) 384-5101.

What is Deketra Mcdowell-willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Deketra Mcdowell-willis enrolled in Medicare?

Yes. Deketra Mcdowell-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 Deketra Mcdowell-willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deketra Mcdowell-willis reassigns Medicare benefits to 2 organizations: Pulmonary Associates, Inc. (Las Vegas, NV) and Serenity Mental Health (Las Vegas, NV). 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 Deketra Mcdowell-willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deketra Mcdowell-willis accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Deketra Mcdowell-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 Deketra Mcdowell-willis affiliated with any hospitals?

According to CMS data, Deketra Mcdowell-willis is affiliated with Valley Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Deketra Mcdowell-willis was last updated on November 14, 2019. 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.