MR. MICAH A WILLIS FNP
NPI 1659567832
Nurse Practitioner - Family in Wasilla, AK

Active since September 20, 2007PECOS EnrolledAccepts Medicare Assignment
83.23/100
CMS Quality Rating
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 631-7800 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Micah A Willis Fnp NPPES

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

MR. MICAH A WILLIS FNP (NPI 1659567832) is an individual family provider in Wasilla, Alaska, licensed in Alaska (104271) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tifton, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1659567832
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICAH A WILLISCredential: FNP
Location Address1001 S KNIK GOOSE BAY RDWasilla, AK 99654-8083
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-9989 · Fax (907) 729-5180
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 20, 2007
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
NPI 1659567832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AK · 104271
1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654

Secondary Practice Location 1

Location 11815 Old Ocilla RdTifton, GA 31794-1617 · Phone (229) 391-3535 · Fax (229) 391-3529

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. Micah A Willis Fnp 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 ID5294804597
PECOS Enrollment IDI20170929001950
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 99654 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

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.

83.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.2
Promoting Interoperability100
Improvement Activities40
Cost50.24

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.

Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Nurse Practitioner (Family)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Physician Assistant
1001 S KNIK GOOSE BAY RD, PCC WEST
WASILLA, AK 99654
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Hearing Aid Equipment
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Chiropractor
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654

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 Micah Willis's NPI number?

The NPI number for Micah Willis is 1659567832. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is Micah Willis located?

Micah Willis practices at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-7800.

What is Micah Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Micah Willis enrolled in Medicare?

Yes. Micah 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 Micah Willis accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Micah 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 Micah Willis was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.