TRELLANE ARTHUR WILLIS MD
NPI 1184410755
Student in an Organized Health Care Education/Training Program in New York, NY
About Trellane Arthur Willis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRELLANE ARTHUR WILLIS MD (NPI 1184410755) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trellane Arthur Willis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
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 Trellane Willis's NPI number?
The NPI number for Trellane Willis is 1184410755. It was assigned to this individual provider in the NPPES registry on April 18, 2025.
Where is Trellane Willis located?
Trellane Willis practices at 1901 1st Ave, New York, NY 10029. The listed phone number is (407) 595-9242.
What is Trellane Willis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Trellane Willis enrolled in Medicare?
Yes. Trellane Willis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Trellane Willis was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Trellane Arthur Willis, MD · NPI 1184410755
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since April 18, 2025.
## Identity
- **NPI:** 1184410755 (Entity type: Individual)
- **Enumerated:** April 18, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 1ST AVE, New York, NY 10029-7494
- **Phone:** (407) 595-9242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184410755) · Data from the CMS NPPES public registry.