Tisha Willis, FNP - Medicare Nurse Practitioner in Minneapolis, MN

  1. Home
  2. Nurse Practitioner
  3. MN
  4. Minneapolis
Tisha Willis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Minneapolis, Minnesota. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vpa Of Texas Pllc and her current practice location is 2240 Drew Ave S, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 985-0747.

Tisha Willis is licensed to practice in Texas (license number AP144040) 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 1275175069.

Contact Information

Tisha Willis, FNP
2240 Drew Ave S,
Minneapolis, MN 55416-3646
(952) 985-0747
(952) 400-8802

Map and Direction




Provider's Profile

Full NameTisha Willis
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2240 Drew Ave S, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tisha Willis graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1275175069
  • Provider Enumeration Date: 10/13/2019
  • Last Update Date: 02/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8820469349
  • Enrollment ID: I20230120000673

Medical Identifiers

Medical identifiers for Tisha Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275175069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP144040 (Texas)Primary
363LF0000XNurse Practitioner - Family F10190145 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
White Rock Medical CenterDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vpa Of Texas Pllc761891166067

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. Tisha Willis allows following entities to bill medicare on her behalf.
Entity NameVpa of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702
Entity NameWound Management Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20200610001466
Entity NameWound Company Provider Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114635174
PECOS PAC ID: 7911366786
Enrollment ID: O20240806001057
Entity NameCreative Health Therapy LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659251163
PECOS PAC ID: 5698267045
Enrollment ID: O20251122001389

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. Tisha 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
Tisha Willis, FNP
2240 Drew Ave S,
Minneapolis, MN 55416-3646

Ph: (952) 985-0747		Tisha Willis, FNP
2240 Drew Ave S,
Minneapolis, MN 55416-3646

Ph: (952) 985-0747

Reviews and Comments


Nurse Practitioner Nurses in Minneapolis, MN

Shiao-lin D Hui,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402
Phone: 612-659-7111    Fax: 612-659-7101
Deborah Elkins,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402
Phone: 612-225-1534    
Anne Hawkins,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404
Phone: 612-813-6102    
Mrs. Mary Susan Clipp, CPNP-AC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454
Phone: 612-365-3100    Fax: 612-365-3110
Kate Chies, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 28th St Ste H2100, Minneapolis, MN 55407
Phone: 612-863-3900    Fax: 612-775-3199
Derek Przybylski,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404
Phone: 715-207-9330    
Dr. Kenneth Mcrae, DNP, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407
Phone: 763-236-5000    

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.