MR. MICAH A WILLIS FNP
NPI 1659567832
Nurse Practitioner - Family in Wasilla, AK
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Micah Willis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wasilla, AK 99654
- Reassigned Medicare billing, Texas enrollment
- 459 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Valdosta, GA 31602
- Reassigned Medicare billing, Georgia enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Micah Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micah Willis reassigns Medicare benefits to 3 organizations: Southcentral Foundation (Wasilla, AK), Alaska Native Tribal Health Consortium (Anchorage, AK) and Parrott Medical Clinic PC (Valdosta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micah Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 20 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.
# Mr. Micah A Willis, FNP · NPI 1659567832
Family physician in Wasilla, Alaska. Individual provider, active in the CMS NPPES registry since September 20, 2007.
## Identity
- **NPI:** 1659567832 (Entity type: Individual)
- **Enumerated:** September 20, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 104271 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654-8083
- **Phone:** (907) 631-7800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southcentral Foundation (NPI 1003469719, Wasilla, AK); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK); Parrott Medical Clinic PC (NPI 1912138116, Valdosta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659567832) · Data from the CMS NPPES public registry.