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TACCARA WILLIS
NPI 1275053662
Nurse Practitioner - Adult Health in Lakeland, FL

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
3525 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 284-5020(863) 284-5387 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2022, Mar 17, 2018, Oct 18, 2017 and 1 more (4 updates tracked since 2017).

About Taccara Willis NPPES

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

TACCARA WILLIS (NPI 1275053662) is an individual adult health provider in Lakeland, Florida, licensed in Florida (ARNP9259286) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275053662
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTACCARA WILLIS
Location Address3525 LAKELAND HILLS BLVDLakeland, FL 33805-1965
Mailing Address1324 Lakeland Hills Blvd, Attn: Managed CareLakeland, FL 33805 · (863) 284-1611
Phone(863) 284-5020
Fax(863) 284-5387
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 27, 2017
Last NPPES UpdateJuly 28, 20224 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1275053662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP9259286
3525 LAKELAND HILLS BLVD, Lakeland, FL 33805
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Taccara Willis 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.

PECOS PAC ID4385919554
PECOS Enrollment IDI20171014000070
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.

Areas of Expertise CMS Part B claims 6

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.

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.
349 services264 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.
202 services164 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
183 services171 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services31 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
21 services20 patients
Magnesium level 83735
A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

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.

MUHAMMAD ZAIN FAROOQ MD
Internal Medicine (Medical Oncology)
3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
AMY R ANDERSON ARNP
Nurse Practitioner (Adult Health)
3525 LAKELAND HILLS BLVD, LAKELAND REGIONAL CANCER CENTER
LAKELAND, FL 33805
Polk County (863) 603-6565
JENNIFER J HUGHES PA-C
Physician Assistant
3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 603-6565
DR. EVE GIBSON PAXTON DO
Surgery (Surgical Oncology)
3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 603-6565
MANUEL ALBERTO MOLINA-VEGA MD
Surgery (Surgical Oncology)
3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 603-6565
DR. SOWSAN H RASHEID M.D.
Surgery
3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 284-3965
MICHAEL N. SHEVACH MD
Radiology (Radiation Oncology)
3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 603-6565
DR. PETER R. HINDS MD
Urology
3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 603-6565

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 Taccara Willis's NPI number?

The NPI number for Taccara Willis is 1275053662. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Taccara Willis located?

Taccara Willis practices at 3525 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 284-5020.

What is Taccara Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Taccara Willis enrolled in Medicare?

Yes. Taccara Willis 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.

What insurance does Taccara Willis accept?

Health plans from AvMed list Taccara 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.

Is Taccara Willis affiliated with any hospitals?

According to CMS data, Taccara Willis is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Taccara Willis was last updated on July 28, 2022. 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.