JOSEPH DOMINIC WILLIS ARNP
NPI 1619082252
Nurse Practitioner in St Petersburg, FL

Q: What is Joseph Willis's NPI number?

The NPI number for Joseph Willis is 1619082252. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Joseph Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Willis was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 21, 2006PECOS Enrolled

10974 54TH AVE N, ST PETERSBURG, FL 33708(727) 579-4124 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Joseph Dominic Willis Arnp NPPES

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

JOSEPH DOMINIC WILLIS ARNP (NPI 1619082252) is an individual nurse practitioner in St Petersburg, Florida, licensed in Florida (ARNP1759342) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619082252

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJOSEPH DOMINIC WILLISCredential: ARNP

Location Address10974 54TH AVE NSt Petersburg, FL 33708-2943

Mailing Address10974 54th Ave NSt Petersburg, FL 33708-2943 · (727) 579-4124

Phone(727) 579-4124

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateFebruary 13, 2017

✔ NPI 1619082252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP1759342

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

10974 54TH AVE N, St Petersburg, FL 33708

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Other Identifiers 2

Medicare ID-Type UnspecifiedY4513YFL

Medicare UPINS50475FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Dominic Willis Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33708 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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

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

ACCESS HEALTHCARE SERVICES INC

Nurse Practitioner

10974 54TH AVE N
ST PETERSBURG, FL 33708

Pinellas County (727) 888-3811

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 Joseph Willis's NPI number?

The NPI number for Joseph Willis is 1619082252. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Joseph Willis located?

Joseph Willis practices at 10974 54th Ave N, St Petersburg, FL 33708. The listed phone number is (727) 579-4124.

What is Joseph Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Joseph Willis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joseph Willis was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.