BRIAN WESLEY WILLIS AGPCNP-BC
NPI 1841007127
Nurse Practitioner - Primary Care in Palm Springs, CA
About Brian Wesley Willis Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN WESLEY WILLIS AGPCNP-BC (NPI 1841007127) is an individual primary care provider in Palm Springs, California, licensed in California (95032580) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
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
Brian Wesley Willis Agpcnp-bc 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 Brian Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palm Desert, CA 92211
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Palm Springs Urology Medical Group PC
- 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 92262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Brian Willis's NPI number?
The NPI number for Brian Willis is 1841007127. It was assigned to this individual provider in the NPPES registry on December 11, 2024.
Where is Brian Willis located?
Brian Willis practices at 555 E Tachevah Dr Ste 2w101, Palm Springs, CA 92262. The listed phone number is (760) 320-6005.
What is Brian Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Brian Willis enrolled in Medicare?
Yes. Brian 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 Brian Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Willis reassigns Medicare benefits to Palm Springs Urology Medical Group, P.C. (Palm Desert, CA). 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 Brian Willis'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 Brian Willis was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Brian Wesley Willis, AGPCNP-BC · NPI 1841007127
Primary Care physician in Palm Springs, California. Individual provider, active in the CMS NPPES registry since December 11, 2024.
## Identity
- **NPI:** 1841007127 (Entity type: Individual)
- **Enumerated:** December 11, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95032580 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 E TACHEVAH DR STE 2W101, Palm Springs, CA 92262-5748
- **Phone:** (760) 320-6005 · **Fax:** (760) 323-5786
## 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:** Palm Springs Urology Medical Group, P.C. (NPI 1578386579, Palm Desert, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1841007127) · Data from the CMS NPPES public registry.