Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COURTNEY WILLIS DMD
NPI 1275102386
Dentist - General Practice in Nampa, ID

Q: What is Courtney Willis's NPI number?

The NPI number for Courtney Willis is 1275102386. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Courtney Willis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Willis was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.

Active since June 22, 2021PECOS Enrolled

1109 14TH ST S, NAMPA, ID 83651(208) 899-8208 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, May 29, 2026, Nov 12, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Courtney Willis Dmd NPPES

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

COURTNEY WILLIS DMD (NPI 1275102386) is an individual general practice provider in Nampa, Idaho, licensed in Idaho (D5273) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Caldwell.

NPPES Registry Identity

NPI1275102386

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameCOURTNEY WILLISCredential: DMD

Location Address1109 14TH ST SNampa, ID 83651-2772

Mailing Address1109 14th St SNampa, ID 83651-2772 · (208) 899-8208 · Fax (208) 899-8203

Phone(208) 899-8208

Sole ProprietorYes

Enumeration DateJune 22, 2021

Last NPPES UpdateSeptember 28, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1275102386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D5273

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1109 14TH ST S, Nampa, ID 83651

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Secondary Practice Location 1

Location 1808 Cleveland BlvdCaldwell, ID 83605-4168 · Phone (208) 459-1025 · Fax (208) 466-5359

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Courtney Willis Dmd 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 83651 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

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 Courtney Willis's NPI number?

The NPI number for Courtney Willis is 1275102386. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Courtney Willis located?

Courtney Willis practices at 1109 14th St S, Nampa, ID 83651. The listed phone number is (208) 899-8208.

What is Courtney Willis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Courtney Willis enrolled in Medicare?

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

What insurance does Courtney Willis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 5 other insurers list Courtney 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 Courtney Willis was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.