TANYA WILLIS CNNP
NPI 1306873732
Nurse Practitioner - Neonatal in Jackson, MS
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tanya Willis Cnnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tanya Willis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Meridian, MS 39301
- Reassigned Medicare billing, Mississippi enrollment
- 349 clinicians in this Medicare group
Bogalusa, LA 70427
- Reassigned Medicare billing, Louisiana enrollment
- 4,559 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.
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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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.
Which organizations bill Medicare for Tanya Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Willis reassigns Medicare benefits to 3 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Medical Foundation, Inc. (Meridian, MS) and Ochsner Clinic LLC (Bogalusa, LA). 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 Tanya Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tanya Willis accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Tanya Willis, CNNP · NPI 1306873732
Neonatal physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1306873732 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** R851015 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-5260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Medical Foundation, Inc. (NPI 1609820539, Meridian, MS); Ochsner Clinic LLC (NPI 1366797110, Bogalusa, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2012
- **Other identifiers:** Medicaid 07628760 (MS); Medicare PIN 512I500389 (MS); Medicare PIN 302I509155 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1306873732) · Data from the CMS NPPES public registry.