CHARLES ADAM WILLIS FNP
NPI 1659795151
Nurse Practitioner - Family in Piney Flats, TN

Active since February 05, 2014PECOS EnrolledAccepts Medicare Assignment
6419 BRISTOL HWY, PINEY FLATS, TN 37686(423) 538-5202(423) 538-8208 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Adam Willis Fnp NPPES

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

CHARLES ADAM WILLIS FNP (NPI 1659795151) is an individual family provider in Piney Flats, Tennessee, licensed in Tennessee (18377) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1659795151
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLES ADAM WILLISCredential: FNP
Location Address6419 BRISTOL HWYPiney Flats, TN 37686-5208
Mailing Address6419 Bristol HwyPiney Flats, TN 37686-5208 · (423) 538-5202 · Fax (423) 538-8208
Fax(423) 538-8208
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 5, 2014
Last NPPES UpdateFebruary 28, 2017
NPI 1659795151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 18377
Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000177156 (TN)
6419 BRISTOL HWY, Piney Flats, TN 37686

Other Identifiers 3

Medicare PIN10370G9364TN
Medicare PIN10350I3347TN
MedicaidQ003839TN

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

Charles Adam 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 ID2769613249
PECOS Enrollment IDI20140326001289
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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
150 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services61 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services14 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
26 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37686 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Colorectal Cancer Screening
0%810 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
0%47 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%47 patients1/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%2,331 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%2,710 patients2/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
6419 BRISTOL HWY
PINEY FLATS, TN 37686
Nurse Practitioner (Primary Care)
6419 BRISTOL HWY
PINEY FLATS, TN 37686
Nurse Practitioner (Family)
6419 BRISTOL HWY
PINEY FLATS, TN 37686
Physician Assistant
6419 BRISTOL HWY
PINEY FLATS, TN 37686
Physician Assistant
6419 BRISTOL HWY
PINEY FLATS, TN 37686
Nurse Practitioner (Family)
6419 BRISTOL HWY
PINEY FLATS, TN 37686
Internal Medicine
6419 BRISTOL HWY
PINEY FLATS, TN 37686

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 Charles Willis's NPI number?

The NPI number for Charles Willis is 1659795151. It was assigned to this individual provider in the NPPES registry on February 5, 2014.

Where is Charles Willis located?

Charles Willis practices at 6419 Bristol Hwy, Piney Flats, TN 37686. The listed phone number is (423) 538-5202.

What is Charles Willis's specialty?

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

Is Charles Willis enrolled in Medicare?

Yes. Charles 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 Charles Willis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Charles 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 Charles Willis was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.