MR. WILLIS SMITH APRN
NPI 1861882847
Nurse Practitioner - Psychiatric/Mental Health in Santa Rosa, CA
About Mr. Willis Smith Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILLIS SMITH APRN (NPI 1861882847) is an individual psychiatric/mental health provider in Santa Rosa, California, licensed in California (95017534) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Willis Smith Aprn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
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 Willis Smith's NPI number?
The NPI number for Willis Smith is 1861882847. It was assigned to this individual provider in the NPPES registry on January 29, 2015.
Where is Willis Smith located?
Willis Smith practices at 751 Lombardi Ct, Santa Rosa, CA 95407. The listed phone number is (707) 303-6000.
What is Willis Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Willis Smith enrolled in Medicare?
Yes. Willis Smith 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 Willis Smith was last updated on February 2, 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.
# Mr. Willis Smith, APRN · NPI 1861882847
Psychiatric/Mental Health physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since January 29, 2015.
## Identity
- **NPI:** 1861882847 (Entity type: Individual)
- **Enumerated:** January 29, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95017534 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 LOMBARDI CT, Santa Rosa, CA 95407-6798
- **Phone:** (707) 303-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Vanderbilt University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** February 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861882847) · Data from the CMS NPPES public registry.