COURTNEY S WILLIS FNP
NPI 1699330282
Nurse Practitioner - Family in Johnson City, TN

Active since May 08, 2019PECOS EnrolledAccepts Medicare Assignment
2203 N GREENWOOD DR, JOHNSON CITY, TN 37604(276) 525-0365 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2020, May 8, 2019 (2 updates tracked since 2019).

About Courtney S Willis Fnp NPPES

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

COURTNEY S WILLIS FNP (NPI 1699330282) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (0000025835) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699330282
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY S WILLISCredential: FNP
Location Address2203 N GREENWOOD DRJohnson City, TN 37604-7030
Mailing Address2203 N Greenwood DrJohnson City, TN 37604-7030 · (276) 525-0365
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 8, 2019
Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
NPI 1699330282 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 TN · 0000025835
2203 N GREENWOOD DR, Johnson City, TN 37604

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

Courtney S 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 ID3173950227
PECOS Enrollment IDI20200302000707, I20250424001983
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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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.

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 Courtney Willis's NPI number?

The NPI number for Courtney Willis is 1699330282. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Courtney Willis located?

Courtney Willis practices at 2203 N Greenwood Dr, Johnson City, TN 37604. The listed phone number is (276) 525-0365.

What is Courtney Willis's specialty?

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

Is Courtney Willis enrolled in Medicare?

Yes. Courtney 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 Courtney 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 Courtney 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 Courtney Willis was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.