Nicholas Andrew Willis, in Portland, OR - Medicare Certified Registered Nurse Anesthetist (crna)

Nicholas Andrew Willis, is a medicare enrolled "Registered Nurse" in Portland, Oregon. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Paceline Anesthesia, Pllc, Peacehealth and his current practice location is 3455 Sw Us Veterans Hospital Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (360) 431-4408.

Nicholas Andrew Willis is licensed to practice in Oregon (license number 201900742RN) 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 1609429125.

Contact Information

	Nicholas Andrew Willis,
	3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076
	(360) 431-4408
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Andrew Willis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	3455 Sw Us Veterans Hospital Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Andrew Willis graduated from nursing school in 2022

NPI Data:

NPI Number: 1609429125
Provider Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 5991187486
Enrollment ID: I20220920002953

Medical Identifiers

Medical identifiers for Nicholas Andrew Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609429125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201900742RN (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Peacehealth St John Medical Center	Longview, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Paceline Anesthesia, Pllc	5799853099	33
Peacehealth	5890689293	181

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. Nicholas Andrew Willis allows following entities to bill medicare on his behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272

Entity Name	Paceline Anesthesia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417273780 PECOS PAC ID: 5799853099 Enrollment ID: O20081013000526

Entity Name	Anesthesia Associates Northwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20161115001177

Entity Name	Anesthetic Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477022259 PECOS PAC ID: 4587901129 Enrollment ID: O20231220001196

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. Nicholas Andrew 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
Nicholas Andrew Willis, 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 Ph: (360) 431-4408	Nicholas Andrew Willis, 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 Ph: (360) 431-4408

Reviews and Comments

Registered Nurse Nurses in Portland, OR

Nanis Gilmore, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 541 Ne 20th Ave, Suite 210, Portland, OR 97232 Phone: 503-233-6940 Fax: 503-236-2676
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Valeriy Igumnov, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-238-0769 Fax: 503-552-6208
John Saklofsky, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3131 N Vancouver Ave, Portland, OR 97227 Phone: 503-528-5521
Misrak Ayele, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 Sw 21st Ave Apt 1014, Portland, OR 97205 Phone: 503-449-3925
Bonnie Kay Schonbachler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2330 Ne Siskiyou St, Portland, OR 97212 Phone: 503-528-0757
Mrs. Samantha Lancaster, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-257-2500

Nicholas Andrew Willis, - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, OR