Jennifer R Willis, NP - Medicare Nurse Practitioner in Louisville, KY

Jennifer R Willis, NP is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Medical Associates Inc and her current practice location is 601 S Floyd St Ste 700, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 629-7181.

Jennifer R Willis is licensed to practice in Kentucky (license number 3006899) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043526064.

Contact Information

Jennifer R Willis, NP
601 S Floyd St Ste 700,
Louisville, KY 40202-1845
(502) 629-7181
(502) 629-6957

Map and Direction




Provider's Profile

Full NameJennifer R Willis
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location601 S Floyd St Ste 700, Louisville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer R Willis graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1043526064
  • Provider Enumeration Date: 08/27/2010
  • Last Update Date: 10/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5597946640
  • Enrollment ID: I20120801000557

Medical Identifiers

Medical identifiers for Jennifer R Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043526064NPI-NPPES
000000772805OtherKYANTHEM-NMFM
137155OtherKYSIHO - NMFM
50040392OtherKYPASSPORT - NMFM
201009490MedicaidIN
7100205410MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WD0400XRegistered Nurse - Diabetes Educator 28178246A (Indiana)Secondary
363L00000XNurse Practitioner 3006899 (Kentucky)Primary
163WD0400XRegistered Nurse - Diabetes Educator 1083742 (Kentucky)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Medical Associates Inc70128112841179

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer R Willis allows following entities to bill medicare on her behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer R Willis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer R Willis, NP
Po Box 766351,
Chicago, IL 60677-6351

Ph: (502) 588-9490
Jennifer R Willis, NP
601 S Floyd St Ste 700,
Louisville, KY 40202-1845

Ph: (502) 629-7181

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.