MARY E WILLIS R.D., L.D., C.D.E.
NPI 1710127626
Dietitian, Registered in Stanley, KS

Q: What is Mary Willis's NPI number?

The NPI number for Mary Willis is 1710127626. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Q: What is Mary Willis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Willis was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 05, 2009

15101 GLENWOOD AVE, STANLEY, KS 66223(913) 681-8866(913) 338-1311 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary E Willis R.d., L.d., C.d.e. NPPES

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

MARY E WILLIS R.D., L.D., C.D.E. (NPI 1710127626) is an individual dietitian, registered in Stanley, Kansas and active in the NPI registry since March 2009. She is a graduate of Other (1985).

NPPES Registry Identity

NPI1710127626

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMARY E WILLISCredential: R.D., L.D., C.D.E.

Location Address15101 GLENWOOD AVEStanley, KS 66223-3154

Mailing AddressPo Box 741331Atlanta, GA 30374-1331 · (913) 469-0503 · Fax (913) 338-1311

Phone(913) 681-8866

Fax(913) 338-1311

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateMarch 5, 2009

Last NPPES UpdateJanuary 8, 2013

✔ NPI 1710127626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

15101 GLENWOOD AVE, Stanley, KS 66223

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary E Willis R.d., L.d., C.d.e. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375738024

PECOS Enrollment IDI20101108001433

Areas of Expertise CMS Part B claims 2

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.

Therapy procedure reassessment for nutrition management, each 15 minutes 97803

This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.

119 services23 patients

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

46 services12 patients

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.

DR. THEODORE J WILLIAMS M.D.

Family Medicine

15101 GLENWOOD AVE
STANLEY, KS 66223

Johnson County (913) 681-8866

KYLIE HAYS PA

Physician Assistant

15101 GLENWOOD AVE
STANLEY, KS 66223

Johnson County (913) 681-8866

DR. TOM KETTLER M.D.

Family Medicine

15101 GLENWOOD AVE
STANLEY, KS 66223

Johnson County (913) 681-8866

DR. ROBERT L SCHUCHARDT M.D.

Family Medicine

15101 GLENWOOD AVE
STANLEY, KS 66223

Johnson County (913) 681-8866

JORDAN MICHAEL CRAWFORD

Physician Assistant

15101 GLENWOOD AVE
OVERLAND PARK, KS 66223

Johnson County (913) 681-8866

OVERLAND PARK SURGICAL SPECIALTIES, LLC

Family Medicine

15101 GLENWOOD AVE
STANLEY, KS 66223

Johnson County (913) 681-8866

AMY J KAPPLE R.D. L.D. C.D.E.

Dietitian, Registered

15101 GLENWOOD AVE
STANLEY, KS 66223

Johnson County (913) 681-8866

JESSICA BLAKE

Nurse Practitioner

15101 GLENWOOD AVE
STANLEY, KS 66223

Johnson County (913) 681-8866

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 Mary Willis's NPI number?

The NPI number for Mary Willis is 1710127626. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Mary Willis located?

Mary Willis practices at 15101 Glenwood Ave, Stanley, KS 66223. The listed phone number is (913) 681-8866.

What is Mary Willis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mary Willis enrolled in Medicare?

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

What insurance does Mary Willis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mary 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 Mary Willis was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.