CHANEL LAWANDA WILLIS MD
NPI 1487359188
Family Medicine in Fredericksburg, VA

Q: What is Chanel Willis's NPI number?

The NPI number for Chanel Willis is 1487359188. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Chanel Willis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chanel Willis was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 April 03, 2023PECOS Enrolled

130 EXECUTIVE CENTER PKWY, FREDERICKSBURG, VA 22401(540) 741-3324 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2026, Apr 3, 2023 (2 updates tracked since 2023).

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About Chanel Lawanda Willis Md NPPES

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

CHANEL LAWANDA WILLIS MD (NPI 1487359188) is an individual family medicine provider in Fredericksburg, Virginia, licensed in Virginia (0101284697) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newport News, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487359188

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCHANEL LAWANDA WILLISCredential: MD

Location Address130 EXECUTIVE CENTER PKWYFredericksburg, VA 22401-3100

Mailing Address1340 Central Park Blvd Ste 100Fredericksburg, VA 22401-4940

Phone(540) 741-3324

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 3, 2023

Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1487359188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101284697

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

130 EXECUTIVE CENTER PKWY, Fredericksburg, VA 22401

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Secondary Practice Location 1

Location 110510 Jefferson Ave Ste BNewport News, VA 23601-3102 · Phone (757) 594-3800 · Fax (757) 591-9021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8224498274

PECOS Enrollment IDI20260413002728

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

Mary Washington Healthcare Physicians

0.3 mi

Family Medicine

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
547 clinicians in this Medicare group

NPI 1295999852 (540) 741-1100

Michumi PLLC

82 mi

Emergency Medicine

120 MONTICELLO AVE
Williamsburg, VA 23185

Reassigned Medicare billing, Virginia enrollment
50 clinicians in this Medicare group

NPI 1255388021 (757) 564-3627

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 10

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

DR. ROBERT H SEAMON M.D.

Internal Medicine

130 EXECUTIVE CENTER PKWY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 370-4468

RICHMOND VAMC

Clinic/Center (VA)

130 EXECUTIVE CENTER PKWY
FREDERICKSBURG, VA 22401

Fredericksburg City (828) 257-2333

DR. MEGAN MICHELLE WACHTER PHARMD

Pharmacist (Psychiatric)

130 EXECUTIVE CENTER PKWY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 370-4468

SAUNDRA DELPHINE MERCER LCSW

Social Worker (Clinical)

130 EXECUTIVE CENTER PKWY
FREDERICKSBURG, VA 22401

Fredericksburg City (804) 675-6746

LYEBA SHAHID

Internal Medicine

130 EXECUTIVE CENTER PKWY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-3324

DR. BRYCHAN K.M. CLARK M.D.

Internal Medicine (Infectious Disease)

130 EXECUTIVE CENTER PKWY, MCGUIRE VA CLINIC FREDERICKSBURG CBOC
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 370-4468

DAGMAWIT MAELAF D.O

Family Medicine

130 EXECUTIVE CENTER PKWY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-3324

FU-YU CHIANG M.D.

Internal Medicine (Infectious Disease)

130 EXECUTIVE CENTER PKWY
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 370-4468

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 Chanel Willis's NPI number?

The NPI number for Chanel Willis is 1487359188. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Chanel Willis located?

Chanel Willis practices at 130 Executive Center Pkwy, Fredericksburg, VA 22401. The listed phone number is (540) 741-3324.

What is Chanel Willis's specialty?

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

Is Chanel Willis enrolled in Medicare?

Yes. Chanel Willis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chanel Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chanel Willis reassigns Medicare benefits to 2 organizations: Mary Washington Healthcare Physicians (Fredericksburg, VA) and Michumi PLLC (Williamsburg, VA). 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 Chanel Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chanel Willis was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.