Willie Sly, PMHNP-BC - Medicare Nurse Practitioner in Santa Rosa, CA

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Willie Sly, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Rosa, California. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 2448 Guerneville Rd Ste 800, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 772-7522.

Willie Sly is licensed to practice in California (license number 95038910) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1053166199.

Contact Information

Willie Sly, PMHNP-BC
2448 Guerneville Rd Ste 800,
Santa Rosa, CA 95403-7228
(707) 772-7522
Not Available

Map and Direction




Provider's Profile

Full NameWillie Sly
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location2448 Guerneville Rd Ste 800, Santa Rosa, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Willie Sly graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1053166199
  • Provider Enumeration Date: 04/22/2024
  • Last Update Date: 05/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2264905355
  • Enrollment ID: I20260619001366

Medical Identifiers

Medical identifiers for Willie Sly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053166199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 5971891 (Idaho)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95038910 (California)Primary

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. Willie Sly allows following entities to bill medicare on his behalf.
Entity NameTorrico Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033926480
PECOS PAC ID: 3577081637
Enrollment ID: O20250513002826

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. Willie Sly 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
Willie Sly, PMHNP-BC
2448 Guerneville Rd Ste 800,
Santa Rosa, CA 95403-7228

Ph: (707) 772-7522		Willie Sly, PMHNP-BC
2448 Guerneville Rd Ste 800,
Santa Rosa, CA 95403-7228

Ph: (707) 772-7522

Reviews and Comments


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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.