WILLIS LIN
NPI 1790487692
Family Medicine in Plainview, NY
About Willis Lin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIS LIN (NPI 1790487692) is an individual family medicine provider in Plainview, New York, licensed in New York (332179) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Willis Lin 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.
Medicare Billing Reassignment
Medicare enrollment records show Willis Lin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PLAINVIEW, NY 11803
PLAINVIEW, NY 11803
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 Willis Lin's NPI number?
The NPI number for Willis Lin is 1790487692. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Willis Lin located?
Willis Lin practices at 888 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 876-6719.
What is Willis Lin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Willis Lin enrolled in Medicare?
Yes. Willis Lin 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.
Which organization bills Medicare for Willis Lin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willis Lin reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willis Lin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Willis Lin was last updated on August 7, 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.
# Willis Lin · NPI 1790487692
Family Medicine physician in Plainview, New York. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1790487692 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 332179 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 888 OLD COUNTRY RD, Plainview, NY 11803-4914
- **Phone:** (516) 876-6719
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790487692) · Data from the CMS NPPES public registry.