MICHELLE WILLIS MD
NPI 1386495539
Student in an Organized Health Care Education/Training Program in Santa Clara, CA
About Michelle Willis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE WILLIS MD (NPI 1386495539) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michelle Willis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
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 Michelle Willis's NPI number?
The NPI number for Michelle Willis is 1386495539. It was assigned to this individual provider in the NPPES registry on March 27, 2024.
Where is Michelle Willis located?
Michelle Willis practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-3830.
What is Michelle 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 Michelle Willis enrolled in Medicare?
Yes. Michelle Willis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michelle Willis was last updated on March 27, 2024. 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.
# Michelle Willis, MD · NPI 1386495539
Student in an Organized Health Care Education/Training Program provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since March 27, 2024.
## Identity
- **NPI:** 1386495539 (Entity type: Individual)
- **Enumerated:** March 27, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 710 LAWRENCE EXPY, Santa Clara, CA 95051-5173
- **Phone:** (408) 851-3830
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 27, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1386495539) · Data from the CMS NPPES public registry.