MRS. KIMBERLY Y WILLIS NP-C, BSN
NPI 1164601514
Nurse Practitioner in Weymouth, MA
About Mrs. Kimberly Y Willis Np-c, Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY Y WILLIS NP-C, BSN (NPI 1164601514) is an individual nurse practitioner in Weymouth, Massachusetts, licensed in Massachusetts (232381) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of University Of Massachusetts Medical School (2004).
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
Mrs. Kimberly Y Willis Np-c, Bsn 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 Reassignment
Medicare enrollment records show Kimberly Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- 477 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Hospital Corporation
Acute Care Hospitals · Beverly, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02189 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WEYMOUTH, MA 02189
WEYMOUTH, MA 02189
WEYMOUTH, MA 02189
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 Kimberly Willis's NPI number?
The NPI number for Kimberly Willis is 1164601514. It was assigned to this individual provider in the NPPES registry on November 1, 2007.
Where is Kimberly Willis located?
Kimberly Willis practices at 51 Performance Dr, Weymouth, MA 02189. The listed phone number is (781) 331-9091.
What is Kimberly Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kimberly Willis enrolled in Medicare?
Yes. Kimberly 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 organization bills Medicare for Kimberly Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Willis reassigns Medicare benefits to Beth Israel Lahey Health Specialty Care, Inc. (Burlington, MA). The 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 Kimberly Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Willis accept?
Health plans from Taro Health list Kimberly 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 Kimberly Willis affiliated with any hospitals?
According to CMS data, Kimberly Willis is affiliated with Northeast Hospital Corporation.
When was this NPI record last updated?
The NPPES record for Kimberly Willis was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Kimberly Y Willis, NP-C, BSN · NPI 1164601514
Nurse Practitioner physician in Weymouth, Massachusetts. Individual provider, active in the CMS NPPES registry since November 1, 2007.
## Identity
- **NPI:** 1164601514 (Entity type: Individual)
- **Enumerated:** November 1, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 232381 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 51 PERFORMANCE DR, Weymouth, MA 02189-3104
- **Phone:** (781) 331-9091
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Beth Israel Lahey Health Specialty Care, Inc. (NPI 1427161660, Burlington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2004
## Record status
- **NPPES last updated:** November 1, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1164601514) · Data from the CMS NPPES public registry.