NICHOLAS WILLIS MD NPI 1629292883

NPI Information

  • NPI: 1629292883
  • Provider Name: NICHOLAS WILLIS, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1601 W 40TH AVE
    SUITE 301
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 541-4285

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NPI Details

Nicholas Willis, MD is a cardiovascular disease internal medicine in Pine Bluff, AR with 20 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Nicholas Willis, MD NPI is 1629292883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1601 W 40TH AVE
SUITE 301
PINE BLUFF, AR
ZIP 71603-319
Phone: (870) 541-4285
Fax: (870) 541-4297

The NPI 1629292883 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system (HCPCS:93289)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel (HCPCS:92941)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 4/12/2007 and was last updated on 10/19/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseE5292ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1168857001MEDICAIDARKANSAS

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: 3/30/2025

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