MR. DONOVAN SCOTT WILLIS CRNA
NPI 1558460295
Nurse Anesthetist, Certified Registered in Joplin, MO

Active since September 21, 2006Accepts Medicare Assignment
91.18/100
CMS Quality Rating
100 MERCY WAY, JOPLIN, MO 64804(417) 781-2727 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Donovan Scott Willis Crna NPPES

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

MR. DONOVAN SCOTT WILLIS CRNA (NPI 1558460295) is an individual nurse anesthetist, certified registered in Joplin, Missouri, licensed in Missouri (2015043775) and active in the NPI registry since September 2006. He is affiliated with Northeastern Health System, maintains a secondary practice location in Fort Smith, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1558460295
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. DONOVAN SCOTT WILLISCredential: CRNA
Location Address100 MERCY WAYJoplin, MO 64804-4524
Mailing AddressPo Box 11405Fort Smith, AR 72917-1405 · (479) 785-2555 · Fax (479) 785-3555
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1558460295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in MO · 2015043775 Licensed in AR · C01497
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

100 MERCY WAY, Joplin, MO 64804

Secondary Practice Location 1

Location 13002 Rogers AveFort Smith, AR 72901-4232 · Phone (479) 785-2555 · Fax (479) 785-3555

Other Identifiers 2

Medicaid200053830AOK
Medicaid156956001AR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Donovan Scott Willis Crna 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 ID941259998
PECOS Enrollment IDI20091023000549, I20160413002491

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
559 services354 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
39 services39 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
17 services14 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
17 services17 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality79.27
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%1,509 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
100 MERCY WAY
JOPLIN, MO 64804
Pathology (Anatomic Pathology & Clinical Pathology)
100 MERCY WAY
JOPLIN, MO 64804
Anesthesiology
100 MERCY WAY
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
100 MERCY WAY
JOPLIN, MO 64804
Anesthesiology
100 MERCY WAY
JOPLIN, MO 64804
Emergency Medicine
100 MERCY WAY
JOPLIN, MO 64804
Emergency Medicine
100 MERCY WAY
JOPLIN, MO 64804
Anesthesiology
100 MERCY WAY
JOPLIN, MO 64804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558460295, enumerated as an "individual" on September 21, 2006.

The provider is located at 100 MERCY WAY JOPLIN, MO 64804 and the phone number is (417) 781-2727.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Donovan Willis is affiliated with: NORTHEASTERN HEALTH SYSTEM.