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TANYA WILLIS CNNP
NPI 1306873732
Nurse Practitioner - Neonatal in Jackson, MS

Active since June 28, 2006PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-5260 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tanya Willis Cnnp NPPES

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

TANYA WILLIS CNNP (NPI 1306873732) is an individual neonatal provider in Jackson, Mississippi, licensed in Mississippi (R851015) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306873732
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameTANYA WILLISCredential: CNNP
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5260
Phone(601) 984-5260
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 14, 2012
✔ NPI 1306873732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MS · R851015
2500 N STATE ST, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 3

Medicaid07628760MS
Medicare PIN512I500389MS
Medicare PIN302I509155MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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)

Tanya Willis Cnnp 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 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

UNIVERSITY OPHTHALMOLOGY ASSOCIATES
Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Hinds County (601) 815-3931
DR. BRIAN L CRABTREE PHARM.D.
Pharmacist (Psychiatric)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 351-8013
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Hinds County (866) 842-7574
DR. JEFFERY D CARRON MD
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5160
DR. BARRY SAUL RUBEL D.M.D.
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6030
IRINA V BORISSOVA MD, PHD
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. TRACY MICHELLE DELLINGER D.D.S.
Dentist
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS 39216
Hinds County (601) 984-6028
RAPHAEL CORCORAN SNEED M.D.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-2940

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 Tanya Willis's NPI number?

The NPI number for Tanya Willis is 1306873732. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Tanya Willis located?

Tanya Willis practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5260.

What is Tanya Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Tanya Willis enrolled in Medicare?

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

What insurance does Tanya Willis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Tanya 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 Tanya Willis was last updated on June 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.