MR. JOHN JEFFREY WILLIS LCSW
NPI 1174560189
Social Worker - Clinical in Richmond, VA
About Mr. John Jeffrey Willis Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN JEFFREY WILLIS LCSW (NPI 1174560189) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904002484) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mr. John Jeffrey Willis Lcsw 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
2Medicare enrollment records show John Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, VA 23294
- Reassigned Medicare billing, Virginia enrollment
- 60 clinicians in this Medicare group
Timonium, MD 21093
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 191 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Willis's NPI number?
The NPI number for John Willis is 1174560189. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is John Willis located?
John Willis practices at 9244 St Charles Cir, Richmond, VA 23235. The listed phone number is (804) 874-5393.
What is John Willis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Willis enrolled in Medicare?
Yes. John 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 John Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Willis reassigns Medicare benefits to 2 organizations: Insight Physicians PC (Richmond, VA) and Psych Associates Of Maryland LLC (Timonium, MD). 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 John Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Willis accept?
Health plans from Oscar Health list John 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 John Willis was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Mr. John Jeffrey Willis, LCSW · NPI 1174560189
Clinical provider in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1174560189 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904002484 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9244 ST CHARLES CIR, Richmond, VA 23235-2413
- **Phone:** (804) 874-5393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Insight Physicians PC (NPI 1801817150, Richmond, VA); Psych Associates Of Maryland LLC (NPI 1891721981, Timonium, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** September 1, 2026
- **Other identifiers:** Medicaid 008937346 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174560189) · Data from the CMS NPPES public registry.