MR. JACOB WILLIS NP
NPI 1255095014
Nurse Practitioner - Acute Care in Denison, TX

Q: What is Jacob Willis's NPI number?

The NPI number for Jacob Willis is 1255095014. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Q: What is Jacob Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Willis was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 27, 2021PECOS Enrolled

5026 POOL RD, DENISON, TX 75020(903) 465-3624 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jacob Willis Np NPPES

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

MR. JACOB WILLIS NP (NPI 1255095014) is an individual acute care provider in Denison, Texas, licensed in Texas (1008163) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255095014

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMR. JACOB WILLISCredential: NP

Location Address5026 POOL RDDenison, TX 75020-2803

Mailing Address5026 Pool RdDenison, TX 75020-2803 · (903) 465-3624

Phone(903) 465-3624

Sole ProprietorYes

Enumeration DateOctober 27, 2021

NPPES CertifiedJune 17, 2021

✔ NPI 1255095014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1008163

5026 POOL RD, Denison, TX 75020

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacob Willis Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

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