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DANIEL WILLIS PA
NPI 1689415879
Physician Assistant in Parker, CO

Active since June 03, 2024PECOS Enrolled
17297 WILDE AVE UNIT 108, PARKER, CO 80134(312) 659-3445 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Willis Pa NPPES

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

DANIEL WILLIS PA (NPI 1689415879) is an individual physician assistant in Parker, Colorado, licensed in Illinois (085012040) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2025).

NPPES Registry Identity

NPI1689415879
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL WILLISCredential: PA
Location Address17297 WILDE AVE UNIT 108Parker, CO 80134-5626
Mailing Address17297 Wilde Ave Unit 108Parker, CO 80134-5626
Phone(312) 659-3445
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2025
Enumeration DateJune 3, 2024
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1689415879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085012040
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17297 WILDE AVE UNIT 108, Parker, CO 80134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Willis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648754697
PECOS Enrollment IDI20260318002053
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 80134 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Daniel Willis's NPI number?

The NPI number for Daniel Willis is 1689415879. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Daniel Willis located?

Daniel Willis practices at 17297 Wilde Ave Unit 108, Parker, CO 80134. The listed phone number is (312) 659-3445.

What is Daniel Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Willis enrolled in Medicare?

Yes. Daniel Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Willis was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.