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MONTE REVELL WILLIS
NPI 1780425892
Physician Assistant in Panama City, FL

Active since June 03, 2024PECOS EnrolledAccepts Medicare Assignment
425 W 19TH ST STE D&E, PANAMA CITY, FL 32405(850) 818-0220(850) 818-0156 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Jan 6, 2025, Jun 19, 2024 and 1 more (4 updates tracked since 2024).

About Monte Revell Willis NPPES

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

MONTE REVELL WILLIS (NPI 1780425892) is an individual physician assistant in Panama City, Florida and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tallahassee, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780425892
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMONTE REVELL WILLIS
Location Address425 W 19TH ST STE D&EPanama City, FL 32405-4659
Mailing AddressPo Box 13834Tallahassee, FL 32317-3834 · (850) 205-6232 · Fax (855) 975-0615
Phone(850) 818-0220
Fax(850) 818-0156
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 3, 2024
Last NPPES UpdateMay 27, 20264 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1780425892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
425 W 19TH ST STE D&E, Panama City, FL 32405
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Other Names 1

Former Name (1)Monte Revell

Secondary Practice Location 1

Location 11704 Riggins RdTallahassee, FL 32308-5318 · Phone (850) 877-4134 · Fax (850) 942-4112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Monte Revell Willis 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 ID6608397351
PECOS Enrollment IDI20250311000117
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 32405 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER DAVIS MD
Dermatology
425 W 19TH ST STE D&E
PANAMA CITY, FL 32405
Bay County (850) 818-0220
MS. JILLIAN MARY JOHNSON MSPAP, PA-C
Physician Assistant
425 W 19TH ST STE D&E
PANAMA CITY, FL 32405
Bay County (850) 818-0220

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 Monte Willis's NPI number?

The NPI number for Monte Willis is 1780425892. It was assigned to this individual provider in the NPPES registry on June 3, 2024. The provider is also known as Monte Revell.

Where is Monte Willis located?

Monte Willis practices at 425 W 19th St Ste D&e, Panama City, FL 32405. The listed phone number is (850) 818-0220.

What is Monte Willis's specialty?

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

Is Monte Willis enrolled in Medicare?

Yes. Monte 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 Monte Willis accept?

Health plans from Oscar Health Maintenance Organization of Florida list Monte 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 Monte Willis was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.