MS. PHYLLIS ANN WILLIS CRNA
NPI 1912916677
Nurse Anesthetist, Certified Registered in Columbia, MO

Q: What is Phyllis Willis's NPI number?

The NPI number for Phyllis Willis is 1912916677. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Phyllis Willis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Willis was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 05, 2006

404 N KEENE ST, COLUMBIA, MO 65201(573) 875-9224(573) 875-9284 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2019, May 15, 2019 (2 updates tracked since 2019).

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About Ms. Phyllis Ann Willis Crna NPPES

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

MS. PHYLLIS ANN WILLIS CRNA (NPI 1912916677) is an individual nurse anesthetist, certified registered in Columbia, Missouri, licensed in Missouri (108842) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1912916677

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMS. PHYLLIS ANN WILLISCredential: CRNA

Location Address404 N KEENE STColumbia, MO 65201-6626

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 875-9224

Fax(573) 875-9284

Sole ProprietorNo

Enumeration DateAugust 5, 2006

Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration

✔ NPI 1912916677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in MO · 108842✔ Licensed in OK · R0032281

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

404 N KEENE ST, Columbia, MO 65201

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Other Identifiers 2

Medicaid914449004MO

OtherP00400212MO · Rail Road Medicare

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.

NATHAN K BECKETT MD

Pediatrics

404 N KEENE ST
COLUMBIA, MO 65201

Boone County (573) 882-4438

ALLISON RIECHMANN PHARMD

Pharmacist

404 N KEENE ST
COLUMBIA, MO 65201

Boone County (573) 499-6022

JESSICA A DORAN MD

Pediatrics

404 N KEENE ST
COLUMBIA, MO 65201

Boone County (573) 882-4438

MELISSA ANN HARNESS CNM

Midwife

404 N KEENE ST
COLUMBIA, MO 65201

Boone County (573) 499-6084

GINA L HARRIS APRN

Nurse Practitioner (Women's Health)

404 N KEENE ST, SUITE 301
COLUMBIA, MO 65201

Boone County (573) 499-6084

BRANDON J KOZINSKI DO

Pediatrics

404 N KEENE ST
COLUMBIA, MO 65201

Boone County (573) 882-4438

JOYCE L PATTON CRNA

Nurse Anesthetist, Certified Registered

404 N KEENE ST
COLUMBIA, MO 65201

Boone County (573) 445-7300

SCOTT T DOYLE CRNA

Nurse Anesthetist, Certified Registered

404 N KEENE ST
COLUMBIA, MO 65201

Boone County (573) 445-7300

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 Phyllis Willis's NPI number?

The NPI number for Phyllis Willis is 1912916677. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Phyllis Willis located?

Phyllis Willis practices at 404 N Keene St, Columbia, MO 65201. The listed phone number is (573) 875-9224.

What is Phyllis Willis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Phyllis Willis was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.