MOLLY WILLIS
NPI 1275921264
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Molly Willis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLLY WILLIS (NPI 1275921264) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95004719) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Molly 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.
Medicare Billing Reassignments
3Medicare enrollment records show Molly Willis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 220 clinicians in this Medicare group
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 147 clinicians in this Medicare group
Hemet, CA 92543
- Reassigned Medicare billing, California enrollment
- 135 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.
Areas of Expertise CMS Part B claims 2
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 92103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Molly Willis's NPI number?
The NPI number for Molly Willis is 1275921264. It was assigned to this individual provider in the NPPES registry on December 30, 2014.
Where is Molly Willis located?
Molly Willis practices at 140 Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-7795.
What is Molly Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Molly Willis enrolled in Medicare?
Yes. Molly 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 Molly Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Molly Willis reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (San Diego, CA), Community Research Foundation Inc (San Diego, CA) and Clinicas De Salud Del Pueblo Inc. (Hemet, CA). 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 Molly 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 Molly Willis was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Molly Willis · NPI 1275921264
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since December 30, 2014.
## Identity
- **NPI:** 1275921264 (Entity type: Individual)
- **Enumerated:** December 30, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95004719 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 140 ARBOR DR, San Diego, CA 92103-2007
- **Phone:** (619) 543-7795
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1508968967, San Diego, CA); Community Research Foundation Inc (NPI 1225251812, San Diego, CA); Clinicas De Salud Del Pueblo Inc. (NPI 1033593108, Hemet, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Brody School Of Medicine At East Carolina University, class of 2013
## Record status
- **NPPES last updated:** December 13, 2016
- **Other identifiers:** Other 95042597 (CA); Other 95004719 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1275921264) · Data from the CMS NPPES public registry.