NINA SEMNANI WILLIS D.O.
NPI 1861870842
Family Medicine in Phoenix, AZ

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
350 W THOMAS RD, PHOENIX, AZ 85013(602) 406-3153 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2024, Dec 6, 2021, Jun 29, 2016 (3 updates tracked since 2016).

About Nina Semnani Willis D.o. NPPES

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

NINA SEMNANI WILLIS D.O. (NPI 1861870842) is an individual family medicine provider in Phoenix, Arizona, licensed in California (20A16140) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861870842
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNINA SEMNANI WILLISCredential: D.O.
Location Address350 W THOMAS RDPhoenix, AZ 85013-4409
Mailing Address350 W Thomas RdPhoenix, AZ 85013-4409 · (602) 406-3153
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 11, 2015
Last NPPES UpdateMay 9, 20243 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1861870842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A16140
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
350 W THOMAS RD, Phoenix, AZ 85013

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

Nina Semnani Willis D.o. 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 ID4688913502
PECOS Enrollment IDI20190311001872
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 85013 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Psychiatry & Neurology (Vascular Neurology)
350 W THOMAS RD
PHOENIX, AZ 85013
Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD, RADIOLOGY DEPARTMENT
PHOENIX, AZ 85013
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013

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 Nina Willis's NPI number?

The NPI number for Nina Willis is 1861870842. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Nina Willis located?

Nina Willis practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (602) 406-3153.

What is Nina Willis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nina Willis enrolled in Medicare?

Yes. Nina 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.

When was this NPI record last updated?

The NPPES record for Nina Willis was last updated on May 9, 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.