Hallie Jean Willis, FNP-C - Medicare Nurse Practitioner in Osage Beach, MO

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Hallie Jean Willis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Osage Beach, Missouri. Her current practice location is 54 Hospital Dr, Osage Beach, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 348-8000.

Hallie Jean Willis is licensed to practice in Missouri (license number 2023036914) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154107654.

Contact Information

Hallie Jean Willis, FNP-C
54 Hospital Dr,
Osage Beach, MO 65065-3050
(573) 348-8000
Not Available

Map and Direction




Provider's Profile

Full NameHallie Jean Willis
GenderFemale
SpecialityNurse Practitioner - Family
Location54 Hospital Dr, Osage Beach, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154107654
  • Provider Enumeration Date: 08/31/2023
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638526478
  • Enrollment ID: I20231115002900

Medical Identifiers

Medical identifiers for Hallie Jean Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154107654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2023036914 (Missouri)Primary

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. Hallie Jean Willis allows following entities to bill medicare on her behalf.
Entity NameLake Regional Medical Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639134158
PECOS PAC ID: 3577467323
Enrollment ID: O20031122000076
Entity NameLake Regional Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053581454
PECOS PAC ID: 9133026776
Enrollment ID: O20070511000147

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. Hallie Jean 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
Hallie Jean Willis, FNP-C
867 Nine Springs Ranch Rd,
Macks Creek, MO 65786-7702

Ph: (573) 378-3182		Hallie Jean Willis, FNP-C
54 Hospital Dr,
Osage Beach, MO 65065-3050

Ph: (573) 348-8000

Reviews and Comments


Nurse Practitioner Nurses in Osage Beach, MO

Hailey Dunn, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1075 Nichols Rd, Osage Beach, MO 65065
Phone: 573-302-3999    Fax: 573-302-2751
Maury Rose Hefele, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 38 Buoyant Pl, Osage Beach, MO 65065
Phone: 573-673-4584    
Jeannie M. Carlton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 54 Hospital Dr, Suite 102, Osage Beach, MO 65065
Phone: 573-348-8045    Fax: 573-348-8046
Brandi Nicole Kincaid, MSN, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 54 Hospital Dr, Osage Beach, MO 65065
Phone: 573-302-2772    Fax: 573-302-2264
Mrs. Megan A Ray, WHNP-APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 54 Hospital Dr, Suite 201, Osage Beach, MO 65065
Phone: 573-302-2764    Fax: 573-302-2767
Lyndsay D Funke, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 54 Hospital Dr, Osage Beach, MO 65065
Phone: 573-302-3199    Fax: 573-302-3198

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.