Charles Adam Willis, FNP - Medicare Nurse Practitioner in Piney Flats, TN

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Charles Adam Willis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Piney Flats, Tennessee. He graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Health Express and his current practice location is 6419 Bristol Hwy, Piney Flats, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 538-5202.

Charles Adam Willis is licensed to practice in Tennessee (license number 18377) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659795151.

Contact Information

Charles Adam Willis, FNP
6419 Bristol Hwy,
Piney Flats, TN 37686-5208
(423) 538-5202
(423) 538-8208

Map and Direction




Provider's Profile

Full NameCharles Adam Willis
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location6419 Bristol Hwy, Piney Flats, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Adam Willis graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1659795151
  • Provider Enumeration Date: 02/05/2014
  • Last Update Date: 02/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769613249
  • Enrollment ID: I20140326001289

Medical Identifiers

Medical identifiers for Charles Adam Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659795151NPI-NPPES
Q003839MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN0000177156 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 18377 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health Express57990729633

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. Charles Adam Willis allows following entities to bill medicare on his behalf.
Entity NameHealth Express
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417352618
PECOS PAC ID: 5799072963
Enrollment ID: O20161003001785

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. Charles Adam 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
Charles Adam Willis, FNP
6419 Bristol Hwy,
Piney Flats, TN 37686-5208

Ph: (423) 538-5202		Charles Adam Willis, FNP
6419 Bristol Hwy,
Piney Flats, TN 37686-5208

Ph: (423) 538-5202

Reviews and Comments


Nurse Practitioner Nurses in Piney Flats, TN

Lindsey Paige Pendergrass, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5554 Highway 11 E, Piney Flats, TN 37686
Phone: 423-666-0030    Fax: 423-666-0031
Mrs. Eden Marie Villiard, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686
Phone: 423-538-5202    
Christy A Rabetoy, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 116 Allison Timbers Rd, Piney Flats, TN 37686
Phone: 423-319-7313    
Mary Catherine Elizabeth Shipley, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686
Phone: 423-538-5202    Fax: 423-538-8208

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.