CEDRIC R WILLIS PA-C
NPI 1801196589
Physician Assistant in Shreveport, LA

Active since October 27, 2010PECOS EnrolledAccepts Medicare Assignment
77.45/100
CMS Quality Rating
8001 YOUREE DR STE 540, SHREVEPORT, LA 71115(318) 631-9121(318) 631-9126 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, Jan 30, 2020, Jul 31, 2019 and 1 more (4 updates tracked since 2018).

About Cedric R Willis Pa-c NPPES

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

CEDRIC R WILLIS PA-C (NPI 1801196589) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (PA.200392) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801196589
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCEDRIC R WILLISCredential: PA-C
Location Address8001 YOUREE DR STE 540Shreveport, LA 71115-2343
Mailing Address3217 Mabel StShreveport, LA 71103-4022 · (318) 631-9121 · Fax (318) 631-9126
Fax(318) 631-9126
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 27, 2010
Last NPPES UpdateAugust 12, 20224 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1801196589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · PA.200392
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.
8001 YOUREE DR STE 540, Shreveport, LA 71115

Other Identifiers 2

OtherPA.200392LA · State License
Medicaid2128680LA

Accepted 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

Cedric R Willis Pa-c 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 ID9830443613
PECOS Enrollment IDI20181114000625
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
547 services367 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
151 services151 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services102 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71115 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.28
Promoting Interoperability100
Improvement Activities40
Cost54.55

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Acute Care)
8001 YOUREE DR STE 540
SHREVEPORT, LA 71115
Nurse Practitioner (Acute Care)
8001 YOUREE DR STE 540
SHREVEPORT, LA 71115
Internal Medicine (Gastroenterology)
8001 YOUREE DR STE 540
SHREVEPORT, LA 71115
Internal Medicine (Gastroenterology)
8001 YOUREE DR STE 540
SHREVEPORT, LA 71115
Nurse Practitioner (Family)
8001 YOUREE DR STE 540
SHREVEPORT, LA 71115
Internal Medicine (Gastroenterology)
8001 YOUREE DR STE 540
SHREVEPORT, LA 71115

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 Cedric Willis's NPI number?

The NPI number for Cedric Willis is 1801196589. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Where is Cedric Willis located?

Cedric Willis practices at 8001 Youree Dr Ste 540, Shreveport, LA 71115. The listed phone number is (318) 631-9121.

What is Cedric Willis's specialty?

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

Is Cedric Willis enrolled in Medicare?

Yes. Cedric 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 Cedric Willis accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Cedric 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.

Is Cedric Willis affiliated with any hospitals?

According to CMS data, Cedric Willis is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Cedric Willis was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.