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SHAWN DALE WILLIS FNP-BC
NPI 1265985550
Nurse Practitioner - Family in Chapmanville, WV

Active since August 03, 2016PECOS Enrolled
67 VICKERS BRANCH RD, CHAPMANVILLE, WV 25508(304) 855-1959 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2024, Nov 16, 2017 (2 updates tracked since 2017).

About Shawn Dale Willis Fnp-bc NPPES

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

SHAWN DALE WILLIS FNP-BC (NPI 1265985550) is an individual family provider in Chapmanville, West Virginia, licensed in West Virginia (APRN66325-FNP-BC) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Logan.

NPPES Registry Identity

NPI1265985550
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWN DALE WILLISCredential: FNP-BC
Location Address67 VICKERS BRANCH RDChapmanville, WV 25508-9716
Mailing Address67 Vickers Branch RdChapmanville, WV 25508-9716 · (304) 855-1959
Phone(304) 855-1959
Sole ProprietorYes
Enumeration DateAugust 3, 2016
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1265985550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · APRN66325-FNP-BC
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN66325-FNP-BC (WV)
67 VICKERS BRANCH RD, Chapmanville, WV 25508
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Secondary Practice Location 1

Location 1123 Enterprise DrLogan, WV 25601-3750 · Phone (304) 752-0183

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn Dale Willis Fnp-bc 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 Reassignments

2

Medicare enrollment records show Shawn Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care, Inc - West Virginia
10 mi
Urgent Care
123 ENTERPRISE DRIVE
Logan, WV 25601
  • Reassigned Medicare billing, West Virginia enrollment
  • 47 clinicians in this Medicare group
NPI 1962885582 (304) 752-0183
Health Care Alliance, Inc.
48 mi
Emergency Medicine
105 S EISENHOWER DR
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1730128760 (304) 256-6600

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
170 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services89 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
59 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services45 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
48 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25508 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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 Shawn Willis's NPI number?

The NPI number for Shawn Willis is 1265985550. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Shawn Willis located?

Shawn Willis practices at 67 Vickers Branch Rd, Chapmanville, WV 25508. The listed phone number is (304) 855-1959.

What is Shawn Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawn Willis enrolled in Medicare?

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

Which organizations bill Medicare for Shawn Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Willis reassigns Medicare benefits to 2 organizations: Urgent Care, Inc - West Virginia (Logan, WV) and Health Care Alliance, Inc. (Beckley, WV). Each 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 Shawn 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 Shawn Willis was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.