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CHARLA RAE WILLIS MD NPI 1497846091


NPI Information

NPI: 1497846091
Provider Name: CHARLA RAE WILLIS, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: CATALYST MEDICAL GROUP, PLLC

PECOS Registration: Yes

Address:
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1383
Get Directions

Charla Rae Willis, MD is an internal medicine in Lewiston, ID with 33 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Charla Rae Willis, MD NPI is 1497846091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

2315 8TH ST
LEWISTON, ID
ZIP 83501-301
Phone: (208) 746-1383
Fax: (208) 746-6348

The NPI 1497846091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Hemoglobin A1C level (HCPCS:83036)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 9/27/2006 and was last updated on 3/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD00045264WASHINGTONNo
2207R00000XInternal Medicine033594CONNECTICUTNo
3207R00000XInternal MedicineD0056472MARYLANDNo
4207R00000XInternal MedicineM9369IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11131387OTHERIDAHODMERC
21011897MEDICAIDWASHINGTON
30222531OTHERWASHINGTONLABOR & INDUSTRIES
41497846091MEDICAIDIDAHO
5F76844MEDICARE UPINIDAHO
61131387MEDICARE PINIDAHO
78855833MEDICARE PINWASHINGTON
8P00237194MEDICARE PIN
974930OTHERIDAHOBLUE CROSS
101497846091OTHERIDAHOREGENCE BLUESHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.