WILLOW BARTHOLOMEW PA
NPI 1225650450
Physician Assistant in Fort Bragg, CA
About Willow Bartholomew Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW BARTHOLOMEW PA (NPI 1225650450) is an individual physician assistant in Fort Bragg, California, licensed in California (59339) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Willow Bartholomew Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95437 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.
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.
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 Willow Bartholomew's NPI number?
The NPI number for Willow Bartholomew is 1225650450. It was assigned to this individual provider in the NPPES registry on May 11, 2020. The provider is also known as Willow Hubbard PA.
Where is Willow Bartholomew located?
Willow Bartholomew practices at 205 South St, Fort Bragg, CA 95437. The listed phone number is (707) 964-1251.
What is Willow Bartholomew's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Willow Bartholomew enrolled in Medicare?
Yes. Willow Bartholomew 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.
When was this NPI record last updated?
The NPPES record for Willow Bartholomew was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.
# Willow Bartholomew, PA · NPI 1225650450
Physician Assistant physician in Fort Bragg, California. Individual provider, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1225650450 (Entity type: Individual)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 59339 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 205 SOUTH ST, Fort Bragg, CA 95437-5540
- **Phone:** (707) 964-1251 · **Fax:** (707) 961-2722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225650450) · Data from the CMS NPPES public registry.