Miss Shirley Vernetha Willis Iii, REGISTERED NURSE - Medicare Nurse Practitioner in Blue Island, IL

Miss Shirley Vernetha Willis Iii, REGISTERED NURSE is a medicare enrolled "Registered Nurse" in Blue Island, Illinois. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 13136 Western Ave, Blue Island, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 974-5800.

Miss Shirley Vernetha Willis Iii is licensed to practice in Illinois (license number 041-161525) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285929620.

Contact Information

Miss Shirley Vernetha Willis Iii, REGISTERED NURSE
13136 Western Ave,
Blue Island, IL 60406-2423
(708) 974-5800
(708) 371-0466

Map and Direction




Provider's Profile

Full NameMiss Shirley Vernetha Willis Iii
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location13136 Western Ave, Blue Island, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Shirley Vernetha Willis Iii graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1285929620
  • Provider Enumeration Date: 06/14/2011
  • Last Update Date: 06/23/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7012434616
  • Enrollment ID: I20250507001771

Medical Identifiers

Medical identifiers for Miss Shirley Vernetha Willis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285929620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041-161525 (Illinois)Primary

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. Miss Shirley Vernetha Willis Iii 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
Miss Shirley Vernetha Willis Iii, REGISTERED NURSE
13136 Western Ave,
Blue Island, IL 60406-2423

Ph: (708) 974-5800
Miss Shirley Vernetha Willis Iii, REGISTERED NURSE
13136 Western Ave,
Blue Island, IL 60406-2423

Ph: (708) 974-5800

Reviews and Comments


Registered Nurse Nurses in Blue Island, IL

Cynthia Cazares, FNP
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 3046 127th St, Blue Island, IL 60406
Phone: 773-453-6868    
Mrs. Latriese Guyton, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 12723 Honore St, Blue Island, IL 60406
Phone: 708-489-5798    
Mrs. Carol Palmer Wardlaw, RN,APN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 13000 Maple Ave, Blue Island, IL 60406
Phone: 708-385-6100    Fax: 708-385-2051
Simona Milner, NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2308 Vernon St, Blue Island, IL 60406
Phone: 630-217-8014    
Lynnetta Adams,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 13102 Western Ave, Blue Island, IL 60406
Phone: 708-275-2164    
Julieta Jones, RN, BSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2853 141st Pl, Blue Island, IL 60406
Phone: 708-985-6581    Fax: 708-985-6581

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.