STACY A WILLIS PA-C
NPI 1740418110
Physician Assistant in Denver, CO

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment
1375 E 20TH AVE, DENVER, CO 80205(303) 338-4545 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2021, Dec 4, 2019, Nov 14, 2019 (3 updates tracked since 2019).

About Stacy A Willis Pa-c NPPES

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

STACY A WILLIS PA-C (NPI 1740418110) is an individual physician assistant in Denver, Colorado, licensed in Colorado (0004027) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740418110
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACY A WILLISCredential: PA-C
Location Address1375 E 20TH AVEDenver, CO 80205-5422
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 24, 2009
Last NPPES UpdateJune 21, 20213 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
NPI 1740418110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CO · 0004027 Licensed in ME · PA001171 Licensed in WY · TL529
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.
1375 E 20TH AVE, Denver, CO 80205

Other Names 1

Former Name (1)Stacy A Williams Pa-c

Other Identifiers 2

Medicaid55381031CO
Other025301CO · Kaiser Commercial Number

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

Stacy A Willis Pa-c 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 ID6305990961
PECOS Enrollment IDI20141126001134
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 80205 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.

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.

Licensed Practical Nurse
1375 E 20TH AVE
DENVER, CO 80205
Clinic/Center (Primary Care)
1375 E 20TH AVE, KAISER PULMONARY
DENVER, CO 80205
Registered Nurse
1375 E 20TH AVE
DENVER, CO 80205
Physical Therapist
1375 E 20TH AVE
DENVER, CO 80205
Internal Medicine (Pulmonary Disease)
1375 E 20TH AVE
DENVER, CO 80205
Internal Medicine
1375 E 20TH AVE
DENVER, CO 80205
Internal Medicine (Pulmonary Disease)
1375 E 20TH AVE
DENVER, CO 80205
Physical Therapist
1375 E 20TH AVE
DENVER, CO 80205

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 Stacy Willis's NPI number?

The NPI number for Stacy Willis is 1740418110. It was assigned to this individual provider in the NPPES registry on June 24, 2009. The provider is also known as Stacy A Williams Pa-C.

Where is Stacy Willis located?

Stacy Willis practices at 1375 E 20th Ave, Denver, CO 80205. The listed phone number is (303) 338-4545.

What is Stacy Willis's specialty?

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

Is Stacy Willis enrolled in Medicare?

Yes. Stacy 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.

When was this NPI record last updated?

The NPPES record for Stacy Willis was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.