Mrs Kristie Willis, CRNA in Smithfield, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Kristie Willis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Smithfield, North Carolina. She graduated from nursing school in 1998 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice East Carolina Anesthesia Associates Pllc, Duke Health Integrated Practice Inc and her current practice location is 509 N Brightleaf Blvd, Smithfield, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 938-7188.

Mrs Kristie Willis is licensed to practice in North Carolina (license number 128155) 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 1366547697.

Contact Information

	Mrs Kristie Willis, CRNA
	509 N Brightleaf Blvd, Smithfield, NC 27577-4407
	(919) 938-7188
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kristie Willis
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	27 Years
Location	509 N Brightleaf Blvd, Smithfield, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kristie Willis graduated from nursing school in 1998

NPI Data:

NPI Number: 1366547697
Provider Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6901996842
Enrollment ID: I20071217000201

Medical Identifiers

Medical identifiers for Mrs Kristie Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366547697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	128155 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Duke University Hospital	Durham, NC	Hospital
Wakemed, Raleigh Campus	Raleigh, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Carolina Anesthesia Associates Pllc	5092720813	578
Duke Health Integrated Practice Inc	8325412737	2794

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. Mrs Kristie Willis allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Of North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

Entity Name	Regional Anesthesia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952486946 PECOS PAC ID: 3779681408 Enrollment ID: O20070604000698

Entity Name	Duke Health Integrated Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247

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. Mrs Kristie 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 Address	Practice Location Address
Mrs Kristie Willis, CRNA 1024 Blykeford Lane, Wake Forest, NC 27587 Ph: () -	Mrs Kristie Willis, CRNA 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 Ph: (919) 938-7188

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Smithfield, NC

Jennifer C. Johler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188
Mrs. Jacqueline Brewer Stevens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7113
Allison Renee Machado, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7019 Fax: 919-938-7957
Lucy Coats, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188
Brenda Leatherman Hess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188
Stephen James Delaporte, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7188

Mrs Kristie Willis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Smithfield, NC