MR. JACOB WILLIS NP
NPI 1255095014
Nurse Practitioner - Acute Care in Denison, TX
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
Specialties & Licenses
Group Practice 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 (PECOS)
Mr. Jacob Willis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacob Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denison, TX 75020
- Reassigned Medicare billing, Texas enrollment
- 40 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.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENISON, TX 75020
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 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.
Where is Jacob Willis located?
Jacob Willis practices at 5026 Pool Rd, Denison, TX 75020. The listed phone number is (903) 465-3624.
What is Jacob Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jacob Willis enrolled in Medicare?
Yes. Jacob Willis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacob Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Willis reassigns Medicare benefits to Texomacare Specialty Physicians (Denison, TX). 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 Jacob Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Willis accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Jacob 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 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 5 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.
# Mr. Jacob Willis, NP · NPI 1255095014
Acute Care physician in Denison, Texas. Individual provider, active in the CMS NPPES registry since October 27, 2021.
## Identity
- **NPI:** 1255095014 (Entity type: Individual)
- **Enumerated:** October 27, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1008163 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5026 POOL RD, Denison, TX 75020-2803
- **Phone:** (903) 465-3624
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texomacare Specialty Physicians (NPI 1548541733, Denison, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255095014) · Data from the CMS NPPES public registry.