EMILY WILLIS
NPI 1346027752
Nurse Practitioner - Family in Tavares, FL

Q: What is Emily Willis's NPI number?

The NPI number for Emily Willis is 1346027752. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Q: What is Emily Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Willis was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 11, 2023PECOS Enrolled

1825 SALK AVE, TAVARES, FL 32778(352) 343-1158(352) 505-9302 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Oct 25, 2023 (2 updates tracked since 2023).

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About Emily Willis NPPES

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

EMILY WILLIS (NPI 1346027752) is an individual family provider in Tavares, Florida, licensed in Florida (11028516) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346027752

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEMILY WILLIS

Location Address1825 SALK AVETavares, FL 32778-4311

Mailing Address1825 Salk AveTavares, FL 32778-4311 · (352) 343-1158 · Fax (352) 505-9302

Phone(352) 343-1158

Fax(352) 505-9302

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 11, 2023

Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1346027752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11028516

1825 SALK AVE, Tavares, FL 32778

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Willis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911497623

PECOS Enrollment IDI20251110002526

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 32778 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORGE O. DIAZ, MD PA

Internal Medicine (Clinical Cardiac Electrophysiology)