CAMILLA WILLSON
NPI 1992123384
Podiatrist - Foot & Ankle Surgery in Fairfield, CA
About Camilla Willson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILLA WILLSON (NPI 1992123384) is an individual foot & ankle surgery provider in Fairfield, California, licensed in California (E5464) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pittsburgh, and is a graduate of Barry University School Of Podiatric Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Camilla Willson 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 Camilla Willson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
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 Camilla Willson's NPI number?
The NPI number for Camilla Willson is 1992123384. It was assigned to this individual provider in the NPPES registry on April 2, 2014.
Where is Camilla Willson located?
Camilla Willson practices at 1620 Pennsylvania Ave Ste A, Fairfield, CA 94533. The listed phone number is (707) 426-5644.
What is Camilla Willson's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Camilla Willson enrolled in Medicare?
Yes. Camilla Willson 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 Camilla Willson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camilla Willson reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Camilla Willson'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 Camilla Willson was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Camilla Willson · NPI 1992123384
Foot & Ankle Surgery provider in Fairfield, California. Individual provider, active in the CMS NPPES registry since April 2, 2014.
## Identity
- **NPI:** 1992123384 (Entity type: Individual)
- **Enumerated:** April 2, 2014
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** E5464 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1620 PENNSYLVANIA AVE STE A, Fairfield, CA 94533-3509
- **Phone:** (707) 426-5644
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Barry University School Of Podiatric Medicine, class of 2010
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1992123384) · Data from the CMS NPPES public registry.