WILLIS SURGICENTER, LLC
NPI 1639804248
Clinic/Center - Ambulatory Surgical in Willis, TX

Q: What is Willis Surgicenter, LLC's NPI number?

The NPI number for Willis Surgicenter, LLC is 1639804248. It was assigned to this organization in the NPPES registry on July 18, 2022. The provider is doing business as Willis Surgery Center.

Q: What is Willis Surgicenter, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 18, 2022CLIA 45D2275802 · Waiver

9863 FM 1097 RD W, WILLIS, TX 77318(999) 999-9999 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willis Surgicenter, Llc NPPES

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

WILLIS SURGICENTER, LLC (NPI 1639804248), doing business as Willis Surgery Center, is a healthcare organization registered as an ambulatory surgical in Willis, Texas and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists David Mcknight, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1639804248

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameWILLIS SURGICENTER, LLC

Location Address9863 FM 1097 RD WWillis, TX 77318-4937

Mailing Address9863 Fm 1097 Rd WWillis, TX 77318-4937

Phone(999) 999-9999

Organization SubpartNo

Authorized OfficialDavid McknightVp/cfo · (972) 789-2816

Enumeration DateJuly 18, 2022

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1639804248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

9863 FM 1097 RD W, Willis, TX 77318

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Other Names 1

Doing Business AsWillis Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2275802

Willis Surgery Center · Willis, TX

Active · expires Jan 26, 2027

CLIA Number45D2275802

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 27, 2025

Certificate Expiration DateJanuary 26, 2027

Laboratory DirectorAaron Fetter

Laboratory Phone(936) 228-8955

Laboratory LocationWillis Surgery Center9863 Fm 1097 Rd W, Willis, TX 77318

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

69 services49 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

18 services17 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

17 services16 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

14 services14 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

13 services11 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

13 services13 patients

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 Willis Surgicenter, LLC's NPI number?

The NPI number for Willis Surgicenter, LLC is 1639804248. It was assigned to this organization in the NPPES registry on July 18, 2022. The provider is doing business as Willis Surgery Center.

Where is Willis Surgicenter, LLC located?

Willis Surgicenter, LLC is located at 9863 Fm 1097 Rd W, Willis, TX 77318. The listed phone number is (999) 999-9999.

What is Willis Surgicenter, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Willis Surgicenter, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2275802) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willis Surgicenter, LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Willis Surgicenter, LLC 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 Willis Surgicenter, LLC was last updated on June 15, 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.