Ms Danine Theresa Willis, APRN is a medicare enrolled "Nurse Practitioner" in Overbrook, Kansas. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Williams Medical Group Practice, Llc, Mercy Health Northwest Arkansas Communities, Cotton-o'neil Clinic Revocable Trust and her current practice location is
4807 E 181st St, Overbrook, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 438-0309.
Ms Danine Theresa Willis is licensed to practice in Kansas (license number 53-44929) 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 1710953559.
Provider's Profile
| Full Name | Ms Danine Theresa Willis |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 27 Years |
|---|
| Location | 4807 E 181st St, Overbrook, Kansas |
|---|
| 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:
- Ms Danine Theresa Willis graduated from nursing school in 1999
NPI Data:
- NPI Number: 1710953559
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 03/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 0648208579
- Enrollment ID: I20050801000926
Medical Identifiers
Medical identifiers for Ms Danine Theresa Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710953559 | NPI | - | NPPES |
| 100352890C | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | A004899 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2004033676 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 53-44929 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Williams Medical Group Practice, Llc | 3375832157 | 211 |
| Mercy Health Northwest Arkansas Communities | 0648177873 | 313 |
| Cotton-o'neil Clinic Revocable Trust | 5496659195 | 655 |
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. Ms Danine Theresa Willis allows following entities to bill medicare on her behalf.
| Entity Name | Kansas University Physicians Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003858333
PECOS PAC ID: 8921911587
Enrollment ID: O20040401000328 |
|---|
| Entity Name | Mercy Clinic Joplin Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043547474
PECOS PAC ID: 0547300196
Enrollment ID: O20091214000066 |
|---|
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. Ms Danine Theresa 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 |
|---|
Ms Danine Theresa Willis, APRN
4807 E 181st St,
Overbrook, KS 66524-9505
Ph: (785) 438-0309 | Ms Danine Theresa Willis, APRN
4807 E 181st St,
Overbrook, KS 66524-9505
Ph: (785) 438-0309 |
Reviews and Comments