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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILLOW MEDICAL LLC
NPI 1417640582
Family Medicine in Owasso, OK

Active since June 02, 2023
12806 E 86TH PL N STE A, OWASSO, OK 74055(539) 208-5069(539) 208-5440 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Jul 27, 2026, Nov 1, 2023 and 1 more (4 updates tracked since 2023).

About Willow Medical Llc NPPES

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

WILLOW MEDICAL LLC (NPI 1417640582) is a healthcare organization registered as a family medicine in Owasso, Oklahoma and active in the NPI registry since June 2023. The organization lists Paula Moorman, Aprn, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1417640582
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLOW MEDICAL LLC
Location Address12806 E 86TH PL N STE AOwasso, OK 74055-2688
Mailing Address12806 E 86th Pl N Ste AOwasso, OK 74055-2688 · (539) 208-5069 · Fax (539) 208-5440
Phone(539) 208-5069
Fax(539) 208-5440
Organization SubpartNo
Authorized OfficialPaula MoormanAprn, Fnp-c · (539) 208-5069
Enumeration DateJune 2, 2023
Last NPPES UpdateOctober 12, 20264 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1417640582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12806 E 86TH PL N STE A, Owasso, OK 74055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willow Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Willow Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Paula Moorman, APRN, FNP-C
Nurse Practitioner
NPI 1336772169
7901 N OWASSO EXPY
Owasso, OK 74055
(539) 208-5069
✔ PECOS✔ Accepts Medicare1.3 mi
Melissa Ma-Heiman, APRN
Nurse Practitioner
NPI 1386267334
3211 S SENECA ST
Wichita, KS 67217
(316) 670-1582
✔ PECOS✔ Accepts Medicare126 mi

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 Willow Medical LLC's NPI number?

The NPI number for Willow Medical LLC is 1417640582. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is Willow Medical LLC located?

Willow Medical LLC is located at 12806 E 86th Pl N Ste A, Owasso, OK 74055. The listed phone number is (539) 208-5069.

What is Willow Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Willow Medical LLC enrolled in Medicare?

Yes. Willow Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willow Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Willow Medical LLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Willow Medical LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Willow Medical LLC 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 Willow Medical LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.