PAUL DANA WILLMS FNP-C
NPI 1629602081
Nurse Practitioner - Family in Port Jefferson, NY
About Paul Dana Willms Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL DANA WILLMS FNP-C (NPI 1629602081) is an individual family provider in Port Jefferson, New York, licensed in New York (F344523) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
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
Paul Dana Willms Fnp-c 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORT JEFFERSON, NY 11777
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 Paul Willms's NPI number?
The NPI number for Paul Willms is 1629602081. It was assigned to this individual provider in the NPPES registry on February 25, 2020.
Where is Paul Willms located?
Paul Willms practices at 635 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 320-7503.
What is Paul Willms's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Paul Willms enrolled in Medicare?
Yes. Paul Willms 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.
When was this NPI record last updated?
The NPPES record for Paul Willms was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Paul Dana Willms, FNP-C · NPI 1629602081
Family physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since February 25, 2020.
## Identity
- **NPI:** 1629602081 (Entity type: Individual)
- **Enumerated:** February 25, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F344523 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 635 BELLE TERRE RD, Port Jefferson, NY 11777-1935
- **Phone:** (631) 320-7503
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629602081) · Data from the CMS NPPES public registry.