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DR. EARNESTINE WILLIS MD
NPI 1770535247
Pediatrics in Milwaukee, WI

Active since May 16, 2006PECOS Enrolled
5433 W FOND DU LAC AVE, MIDTOWN PEDIATRICS, MILWAUKEE, WI 53216(414) 277-8900(414) 277-8939 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Earnestine Willis Md NPPES

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

DR. EARNESTINE WILLIS MD (NPI 1770535247) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (36231) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770535247
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. EARNESTINE WILLISCredential: MD
Location Address5433 W FOND DU LAC AVE, MIDTOWN PEDIATRICSMilwaukee, WI 53216-1382
Mailing Address5433 W Fond Du Lac Ave, Midtown PediatricsMilwaukee, WI 53216-1382 · (414) 277-8900 · Fax (414) 277-8939
Phone(414) 277-8900
Fax(414) 277-8939
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateNovember 17, 2016
✔ NPI 1770535247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 36231
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5433 W FOND DU LAC AVE, Milwaukee, WI 53216
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Other Identifiers 4

Medicare UPINC42882
Other002000197OHumana
Medicaid1770535247WI
Medicare PIN736011718WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Earnestine Willis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53216 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

KAITLIN M MICHEL FNP-BC
Nurse Practitioner (Family)
5433 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 277-8909
JUDITH L BELLAMY RDH
Dental Hygienist
5433 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 445-6500
DR. ALICIA GOLOVIN DMD
Dentist (General Practice)
5433 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 445-6500
MISS LEANN VICE-RESHEL B.A.
Counselor (Professional)
5433 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 228-4800
MONICA ZORE
Nurse Practitioner (Family)
5433 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 277-8900
DR. HEATHER A PARADIS MD
Pediatrics
5433 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 277-8900
MS. KRISTINE ERIN DAVISON
Pediatrics
5433 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 277-8900
ALEXANDRA CLAIRE KORTE DDS
Dentist (Pediatric Dentistry)
5433 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 445-6500

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 Earnestine Willis's NPI number?

The NPI number for Earnestine Willis is 1770535247. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Earnestine Willis located?

Earnestine Willis practices at 5433 W Fond Du Lac Ave Midtown Pediatrics, Milwaukee, WI 53216. The listed phone number is (414) 277-8900.

What is Earnestine Willis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Earnestine Willis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Earnestine Willis was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.