MISS KELCIE DAELYNN WILLIS MS
NPI 1336882133
Student in an Organized Health Care Education/Training Program in Cleburne, TX

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
3700 COUNTY ROAD 312, CLEBURNE, TX 76031(817) 733-8881 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Kelcie Daelynn Willis Ms NPPES

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

MISS KELCIE DAELYNN WILLIS MS (NPI 1336882133) is an individual student in an organized health care education/training program in Cleburne, Texas and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleburne, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336882133
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS KELCIE DAELYNN WILLISCredential: MS
Location Address3700 COUNTY ROAD 312Cleburne, TX 76031-8762
Mailing Address3700 County Road 312Cleburne, TX 76031-8762 · (817) 733-8881
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1336882133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3700 COUNTY ROAD 312, Cleburne, TX 76031

Secondary Practice Location 1

Location 13700 County Road 312Cleburne, TX 76031-8762 · Phone (817) 733-8881

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

Miss Kelcie Daelynn Willis Ms 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.

PECOS PAC ID840709440
PECOS Enrollment IDI20250604002715
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelcie Willis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 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.

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 Kelcie Willis's NPI number?

The NPI number for Kelcie Willis is 1336882133. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Kelcie Willis located?

Kelcie Willis practices at 3700 County Road 312, Cleburne, TX 76031. The listed phone number is (817) 733-8881.

What is Kelcie Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelcie Willis enrolled in Medicare?

Yes. Kelcie 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 Kelcie Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelcie Willis reassigns Medicare benefits to 2 organizations: The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). 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 Kelcie Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelcie Willis accept?

Health plans from Harvard Pilgrim Health Care list Kelcie 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 Kelcie Willis was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.