ELIZABETH WILLIS MD
NPI 1437789765
Internal Medicine in Wright Patterson Afb, OH

Q: What is Elizabeth Willis's NPI number?

The NPI number for Elizabeth Willis is 1437789765. It was assigned to this individual provider in the NPPES registry on January 26, 2020.

Q: What is Elizabeth Willis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Willis was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 26, 2020PECOS EnrolledAccepts Medicare Assignment

4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-9926 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2023, Jan 26, 2020 (2 updates tracked since 2020).

On this page

About Elizabeth Willis Md NPPES

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

ELIZABETH WILLIS MD (NPI 1437789765) is an individual internal medicine provider in Wright Patterson Afb, Ohio, licensed in Ohio (35.145230) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Kentucky College Of Medicine (2020).

NPPES Registry Identity

NPI1437789765

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameELIZABETH WILLISCredential: MD

Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529

Mailing Address4881 Sugar Maple DrWright Pat, OH 45433-5529 · (937) 257-9926

Phone(937) 257-9926

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2020

Enumeration DateJanuary 26, 2020

Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1437789765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35.145230

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Elizabeth Willis Md 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 ID5294157251

PECOS Enrollment IDI20260526003456

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

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

Mvhe Inc

2.4 mi

Family Medicine

2180 GATEWAY DR
Fairborn, OH 45324

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1740233279 (937) 208-8155

Upper Valley Professional Corporation

16 mi

Family Medicine

3130 N COUNTY ROAD 25A
Troy, OH 45373

Reassigned Medicare billing, Ohio enrollment
405 clinicians in this Medicare group

NPI 1407872518 (937) 440-7497

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers11 claims11 services$15.23 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$78.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. JAMES REBELLO III

Pharmacist

4881 SUGAR MAPLE DR
FAIRBORN, OH 45433

Greene County (937) 257-9014

CARLA HUELSKAMP PHARMD

Pharmacist

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9696

JOHN ALAN ARTHUR

Internal Medicine

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-4482

ALEXIS D OWEN

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-1574

GREGORY JAMES MORSE M.D.

Radiology (Nuclear Radiology)

4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9679

KENDRA M. SCHMUCK RD LD

Dietitian, Registered

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-8815

MATTHEW PHILIP SCULLY IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (616) 717-0169

KAREN LEWIS RTT

Radiologic Technologist (Radiation Therapy)

4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-4159

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 Elizabeth Willis's NPI number?

The NPI number for Elizabeth Willis is 1437789765. It was assigned to this individual provider in the NPPES registry on January 26, 2020.

Where is Elizabeth Willis located?

Elizabeth Willis practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-9926.

What is Elizabeth Willis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elizabeth Willis enrolled in Medicare?

Yes. Elizabeth 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 Elizabeth Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Willis reassigns Medicare benefits to 2 organizations: Mvhe Inc (Fairborn, OH) and Upper Valley Professional Corporation (Troy, OH). 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 Elizabeth Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Willis accept?

Health plans from CareSource list Elizabeth 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.

Is Elizabeth Willis affiliated with any hospitals?

According to CMS data, Elizabeth Willis is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Willis was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.