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MICHAEL WILLIS M.D.
NPI 1194888776
Anesthesiology in Melbourne, FL

Active since December 18, 2006PECOS Enrolled
1051 HICKORY ST, MELBOURNE, FL 32901(321) 784-3700(321) 784-4090 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael Willis M.d. NPPES

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

MICHAEL WILLIS M.D. (NPI 1194888776) is an individual anesthesiology provider in Melbourne, Florida, licensed in Florida (ME60656) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194888776
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMICHAEL WILLISCredential: M.D.
Location Address1051 HICKORY STMelbourne, FL 32901-1962
Mailing Address804 Scott Nixon Memorial DrAugusta, GA 30907-2464 · (706) 650-0705 · Fax (706) 650-1034
Phone(321) 784-3700
Fax(321) 784-4090
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJune 5, 2008
✔ NPI 1194888776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in FL · ME60656
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1051 HICKORY ST, Melbourne, FL 32901
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Other Names 1

Professional Name (2)Dr. Michael Willis M.d.

Other Identifiers 2

Medicare PIN14399BFL
Medicare UPINF13251FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Willis M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orange City Anesthesia Services LLC
70 mi
Anesthesiology
975 TOWN CENTER DR STE 100
Orange City, FL 32763
  • Reassigned Medicare billing, Florida enrollment
  • 129 clinicians in this Medicare group
NPI 1972882314 (386) 456-5247

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

Other Providers at the Same Location NPPES 3

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

RAYMOND CRIGGER MD
Anesthesiology
1051 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 784-3700
JOYCE DREW M.D.
Anesthesiology
1051 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 784-3700
PALM BAY ANESTHESIA, INC
Clinic/Center
1051 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 784-3700

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 Michael Willis's NPI number?

The NPI number for Michael Willis is 1194888776. It was assigned to this individual provider in the NPPES registry on December 18, 2006. The provider is also known as Dr. Michael Willis M.D..

Where is Michael Willis located?

Michael Willis practices at 1051 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 784-3700.

What is Michael Willis's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Michael Willis enrolled in Medicare?

Yes. Michael Willis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Willis reassigns Medicare benefits to Orange City Anesthesia Services LLC (Orange City, FL). 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 Michael Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Willis was last updated on June 5, 2008. 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.