JUDITH LYNNE WILLIS MPH RD CD CDCES
NPI 1821159039
Dietitian, Registered in Bellingham, WA

Active since December 12, 2006Accepts Medicare Assignment
1114 ELLIS ST, BELLINGHAM, WA 98225(360) 510-5075 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Judith Lynne Willis Mph Rd Cd Cdces NPPES

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

JUDITH LYNNE WILLIS MPH RD CD CDCES (NPI 1821159039) is an individual dietitian, registered in Bellingham, Washington, licensed in Washington (727126) and active in the NPI registry since December 2006. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1821159039
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJUDITH LYNNE WILLISCredential: MPH RD CD CDCES
Location Address1114 ELLIS STBellingham, WA 98225-5204
Mailing Address20 University Rd Ste 5Cambridge, MA 02138-5815 · (617) 420-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1821159039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in WA · 727126✔ Licensed in WA · DI00001288
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1114 ELLIS ST, Bellingham, WA 98225

Other Names 1

Other Name (5)Judith Lynne Willis Mph Rd Cd Cdces

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

Judith Lynne Willis Mph Rd Cd Cdces 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 ID9335308360
PECOS Enrollment IDI20120312000513

Medicare Billing Reassignment

Medicare enrollment records show Judith Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
20 UNIVERSITY RD FLOOR 5
Cambridge, MA 02138
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Lifestylerx Florida PA
  • 2 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 98225 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
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
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.

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 Judith Willis's NPI number?

The NPI number for Judith Willis is 1821159039. It was assigned to this individual provider in the NPPES registry on December 12, 2006. The provider is also known as Judith Lynne Willis Mph Rd Cd Cdces.

Where is Judith Willis located?

Judith Willis practices at 1114 Ellis St, Bellingham, WA 98225. The listed phone number is (360) 510-5075.

What is Judith Willis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Judith Willis enrolled in Medicare?

Yes. Judith 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.

Which organization bills Medicare for Judith Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Willis reassigns Medicare benefits to Lifestylerx Florida, P.A. (Cambridge, MA). 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 Judith Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judith Willis accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Judith 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 Judith Willis was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.