NICHOLAS WILLIS MD
NPI 1629292883
Internal Medicine - Cardiovascular Disease in Pine Bluff, AR

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment
1601 W 40TH AVE, SUITE 301, PINE BLUFF, AR 71603(870) 541-4285(870) 541-4297 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2020, Mar 29, 2016 (2 updates tracked since 2016).

About Nicholas Willis Md NPPES

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

NICHOLAS WILLIS MD (NPI 1629292883) is an individual cardiovascular disease provider in Pine Bluff, Arkansas, licensed in Arkansas (E5292) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2005).

NPPES Registry Identity

NPI1629292883
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNICHOLAS WILLISCredential: MD
Location Address1601 W 40TH AVE, SUITE 301Pine Bluff, AR 71603-6319
Mailing Address1601 W 40th Ave, Suite 301Pine Bluff, AR 71603-6319 · (870) 541-4285 · Fax (870) 541-4297
Fax(870) 541-4297
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2005
Enumeration DateApril 12, 2007
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
NPI 1629292883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AR · E5292
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1601 W 40TH AVE, Pine Bluff, AR 71603

Other Identifiers 1

Medicaid168857001AR

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

Nicholas 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 ID2668545294
PECOS Enrollment IDI20080930000671
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.

Areas of Expertise CMS Part B claims 38

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

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
2,212 services1,091 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,436 services731 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
529 services192 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
503 services468 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
268 services163 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
224 services199 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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.

Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Internal Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603

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 Nicholas Willis's NPI number?

The NPI number for Nicholas Willis is 1629292883. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Nicholas Willis located?

Nicholas Willis practices at 1601 W 40th Ave Suite 301, Pine Bluff, AR 71603. The listed phone number is (870) 541-4285.

What is Nicholas Willis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nicholas Willis enrolled in Medicare?

Yes. Nicholas 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.

What insurance does Nicholas Willis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Nicholas 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.

When was this NPI record last updated?

The NPPES record for Nicholas Willis was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.