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AMANDA MARIE WILLY
NPI 1790654119
Nurse Practitioner in Port Angeles, WA

Active since November 03, 2025PECOS Enrolled
1021 CAROLINE ST, PORT ANGELES, WA 98362(360) 565-9511 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Nov 3, 2025 (2 updates tracked since 2025).

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 and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790654119
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA MARIE WILLY
Location Address1021 CAROLINE STPort Angeles, WA 98362-3901
Mailing AddressPo Box 24029Seattle, WA 98124-0029 · (360) 565-0999 · Fax (360) 565-9512
Phone(360) 565-9511
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 3, 2025
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1790654119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · ARNP.AP.70086839-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.RN.61057018.MSL (WA)
1021 CAROLINE ST, Port Angeles, WA 98362
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Other Names 1

Former Name (1)Amanda M Wichern

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Marie Willy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547738940
PECOS Enrollment IDI20260505000062
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 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.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 2

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

SANDRA TATRO PS INC
Surgery
1021 CAROLINE ST
PORT ANGELES, WA 98362
Clallam County (360) 452-6808
J M CAIN MD PLLC
Specialist
1021 CAROLINE ST
PORT ANGELES, WA 98362
Clallam County (360) 452-6808

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 enrollment system.

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 4 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.