Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LISETTE WILLIS PMHNP
NPI 1912833385
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Active since June 22, 2026
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411(909) 887-6333 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisette Willis Pmhnp NPPES

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

LISETTE WILLIS PMHNP (NPI 1912833385) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95039779) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1912833385
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISETTE WILLISCredential: PMHNP
Location Address1805 MEDICAL CENTER DRSan Bernardino, CA 92411-1217
Mailing Address5374 Novara AveFontana, CA 92336-0246 · (909) 414-4211
Sole ProprietorYes
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1912833385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95039779
1805 MEDICAL CENTER DR, San Bernardino, CA 92411

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.

Physician Assistant
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Home Health
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Emergency Medicine
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Internal Medicine
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Anesthesiology
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Registered Nurse (Emergency)
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Psychiatry & Neurology (Psychiatry)
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Physician Assistant
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411

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 Lisette Willis's NPI number?

The NPI number for Lisette Willis is 1912833385. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Lisette Willis located?

Lisette Willis practices at 1805 Medical Center Dr, San Bernardino, CA 92411. The listed phone number is (909) 887-6333.

What is Lisette Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lisette Willis was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.