CARLENE WILLIS FNP-C
NPI 1740796358
Nurse Practitioner - Family in Banning, CA
About Carlene Willis Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLENE WILLIS FNP-C (NPI 1740796358) is an individual family provider in Banning, California, licensed in California (95008027) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Carlene Willis Fnp-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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BANNING, CA 92220
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 Carlene Willis's NPI number?
The NPI number for Carlene Willis is 1740796358. It was assigned to this individual provider in the NPPES registry on December 19, 2017.
Where is Carlene Willis located?
Carlene Willis practices at 264 N Highland Springs Ave Ste 4, Banning, CA 92220. The listed phone number is (951) 769-0079.
What is Carlene Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carlene Willis enrolled in Medicare?
Yes. Carlene 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 Carlene Willis was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Carlene Willis, FNP-C · NPI 1740796358
Family physician in Banning, California. Individual provider, active in the CMS NPPES registry since December 19, 2017.
## Identity
- **NPI:** 1740796358 (Entity type: Individual)
- **Enumerated:** December 19, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95008027 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 264 N HIGHLAND SPRINGS AVE STE 4, Banning, CA 92220-3082
- **Phone:** (951) 769-0079
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1740796358) · Data from the CMS NPPES public registry.