KERRY C WILLIS CRNP
NPI 1295701266
Nurse Practitioner - Family in York, PA
About Kerry C Willis Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY C WILLIS CRNP (NPI 1295701266) is an individual family provider in York, Pennsylvania, licensed in Pennsylvania (TP007004B) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
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
Kerry C Willis Crnp 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
6Medicare enrollment records show Kerry Willis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
York, PA 17403
- Reassigned Medicare billing, Pennsylvania enrollment
- 272 clinicians in this Medicare group
Harrisburg, PA 17101
- Reassigned Medicare billing, Pennsylvania enrollment
- 209 clinicians in this Medicare group
Pine Grove, PA 17963
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Wilmington, DE 19805
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Atlantic Physician Services Of Maryland, PC
- 38 clinicians in this Medicare group
Langhorne, PA 19047
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
- 329 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 111 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 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 17403 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.
YORK, PA 17403
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 Kerry Willis's NPI number?
The NPI number for Kerry Willis is 1295701266. It was assigned to this individual provider in the NPPES registry on February 28, 2006.
Where is Kerry Willis located?
Kerry Willis practices at 1001 S George St, York, PA 17403. The listed phone number is (717) 851-2450.
What is Kerry Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kerry Willis enrolled in Medicare?
Yes. Kerry 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 Kerry Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Willis reassigns Medicare benefits to 6 organizations: York Hospital (York, PA), Pinnacle Health Emergency Department Services LLC (Harrisburg, PA), Lehigh Valley Physician Group (Pine Grove, PA), Atlantic Physician Services Of Maryland, P.C. (Wilmington, DE), Emergency Care Services Of Pennsylvania, P.C. (Langhorne, PA) and 1 more organization, listed in the Medicare section above. 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 Kerry 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 Kerry Willis was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kerry C Willis, CRNP · NPI 1295701266
Family physician in York, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 28, 2006.
## Identity
- **NPI:** 1295701266 (Entity type: Individual)
- **Enumerated:** February 28, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** TP007004B (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 S GEORGE ST, York, PA 17403-3676
- **Phone:** (717) 851-2450
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): York Hospital (NPI 1114885480, York, PA); Pinnacle Health Emergency Department Services LLC (NPI 1487693404, Harrisburg, PA); Lehigh Valley Physician Group (NPI 1437911807, Pine Grove, PA); Atlantic Physician Services Of Maryland, P.C. (NPI 1730129594, Wilmington, DE); Emergency Care Services Of Pennsylvania, P.C. (NPI 1114955010, Langhorne, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** May 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295701266) · Data from the CMS NPPES public registry.