AMANDA MARIE WILLY
NPI 1790654119
Nurse Practitioner in Port Angeles, WA
About Amanda Marie Willy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA MARIE WILLY (NPI 1790654119) is an individual nurse practitioner in Port Angeles, Washington, licensed in Washington (ARNP.AP.70086839-NP) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
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
Amanda Marie Willy 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 Amanda Willy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Angeles, WA 98362
- Reassigned Medicare billing, Washington enrollment
- 112 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Olympic Medical Center
Acute Care Hospitals · Port Angeles, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98362 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Amanda Willy's NPI number?
The NPI number for Amanda Willy is 1790654119. It was assigned to this individual provider in the NPPES registry on November 3, 2025. The provider is also known as Amanda M Wichern.
Where is Amanda Willy located?
Amanda Willy practices at 1021 Caroline St, Port Angeles, WA 98362. The listed phone number is (360) 565-9511.
What is Amanda Willy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Amanda Willy enrolled in Medicare?
Yes. Amanda Willy 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 Amanda Willy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Willy reassigns Medicare benefits to Olympic Medical Physicians (Port Angeles, WA). 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 Amanda Willy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Willy accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Amanda Willy 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.
Is Amanda Willy affiliated with any hospitals?
According to CMS data, Amanda Willy is affiliated with Olympic Medical Center.
When was this NPI record last updated?
The NPPES record for Amanda Willy was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Amanda Marie Willy · NPI 1790654119
Nurse Practitioner physician in Port Angeles, Washington. Individual provider, active in the CMS NPPES registry since November 3, 2025.
## Identity
- **NPI:** 1790654119 (Entity type: Individual)
- **Enumerated:** November 3, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** ARNP.AP.70086839-NP (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1021 CAROLINE ST, Port Angeles, WA 98362-3901
- **Phone:** (360) 565-9511
## 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:** Olympic Medical Physicians (NPI 1427081967, Port Angeles, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790654119) · Data from the CMS NPPES public registry.