WILLIE SELLERS AGACNP-BC
NPI 1154928463
Nurse Practitioner - Gerontology in Surprise, AZ

Q: What is Willie Sellers's NPI number?

The NPI number for Willie Sellers is 1154928463. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Q: What is Willie Sellers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Willie Sellers was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 08, 2020PECOS Enrolled

15354 W CHARTER OAK RD, SURPRISE, AZ 85379(843) 616-4948 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Willie Sellers Agacnp-bc NPPES

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

WILLIE SELLERS AGACNP-BC (NPI 1154928463) is an individual gerontology provider in Surprise, Arizona, licensed in Arizona (248870) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154928463

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameWILLIE SELLERSCredential: AGACNP-BC

Location Address15354 W CHARTER OAK RDSurprise, AZ 85379-9184

Mailing Address15354 W Charter Oak RdSurprise, AZ 85379-9184

Phone(843) 616-4948

Sole ProprietorYes

Enumeration DateOctober 8, 2020

NPPES CertifiedSeptember 30, 2020

✔ NPI 1154928463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AZ · 248870

15354 W CHARTER OAK RD, Surprise, AZ 85379

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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)

Willie Sellers Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85379 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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 Willie Sellers's NPI number?

The NPI number for Willie Sellers is 1154928463. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Willie Sellers located?

Willie Sellers practices at 15354 W Charter Oak Rd, Surprise, AZ 85379. The listed phone number is (843) 616-4948.

What is Willie Sellers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Willie Sellers enrolled in Medicare?

Yes. Willie Sellers is registered in the Medicare PECOS enrollment system.

What insurance does Willie Sellers accept?

Health plans from Blue Cross Blue Shield of Arizona list Willie Sellers 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 Willie Sellers was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.