TISHA WILLIS FNP
NPI 1275175069
Nurse Practitioner - Family in Minneapolis, MN
About Tisha Willis Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TISHA WILLIS FNP (NPI 1275175069) is an individual family provider in Minneapolis, Minnesota, licensed in Texas (AP144040) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tisha Willis Fnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Tisha Willis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55416
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Texas enrollment
- 802 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Texas enrollment
- 69 clinicians in this Medicare group
Katy, TX 77494
- Reassigned Medicare billing, Texas enrollment
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55416
MINNEAPOLIS, MN 55416
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 Tisha Willis's NPI number?
The NPI number for Tisha Willis is 1275175069. It was assigned to this individual provider in the NPPES registry on October 13, 2019.
Where is Tisha Willis located?
Tisha Willis practices at 2240 Drew Ave S, Minneapolis, MN 55416. The listed phone number is (952) 985-0747.
What is Tisha Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tisha Willis enrolled in Medicare?
Yes. Tisha 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.
Which organizations bill Medicare for Tisha Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tisha Willis reassigns Medicare benefits to 4 organizations: Wound Company Provider Group, Inc. (Minneapolis, MN), Vpa Of Texas PLLC (Irving, TX), Wound Management Specialists, LLC (Flowood, MS) and Creative Health Therapy LLC (Katy, TX). 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 Tisha Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tisha Willis accept?
Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Tisha 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 Tisha Willis was last updated on February 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Tisha Willis, FNP · NPI 1275175069
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since October 13, 2019.
## Identity
- **NPI:** 1275175069 (Entity type: Individual)
- **Enumerated:** October 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP144040 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2240 DREW AVE S, Minneapolis, MN 55416-3646
- **Phone:** (952) 985-0747 · **Fax:** (952) 400-8802
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Wound Company Provider Group, Inc. (NPI 1114635174, Minneapolis, MN); Vpa Of Texas PLLC (NPI 1679510499, Irving, TX); Wound Management Specialists, LLC (NPI 1972150084, Flowood, MS); Creative Health Therapy LLC (NPI 1659251163, Katy, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275175069) · Data from the CMS NPPES public registry.