MS. DANINE THERESA WILLIS (APRN) – Nurse Practitioner, NPI 1710953559

MS. DANINE THERESA WILLIS (APRN) is a healthcare provider. based in Centerton, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A004899 (AR). The NPI Number for MS. DANINE THERESA WILLIS (APRN) is 1710953559

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. DANINE THERESA WILLIS (APRN)
NPI
1710953559
Phone
(479) 795-1301
Address
1225 E Centerton Blvd
Enumeration Date
23 February 2006
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853549591
Graduation Year
1999 (27 years ago)
PAC ID
0648208579
Group Practice PAC ID
5496659195
Professional Enrollment ID
I20050801000926
Address ID
KS666182651TO4505XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MS. DANINE THERESA WILLIS (APRN)

  • 1225 E Centerton Blvd

    Centerton, AR 727191225

    Phone: (479) 795-1301

    Fax: (479) 795-1304

    Type: Location

  • 4401 Wornall Rd

    Kansas City, MO 641113220

    Phone: (816) 932-2000

    Type: Location

  • 4505 NW Fielding Rd

    Topeka, KS 666182651

    Phone: (785) 270-0047

    Fax: (785) 270-0032

    Type: Location

  • 2909 SE Walnut Dr

    Topeka, KS 666052189

    Phone: (785) 270-0047

    Fax: (785) 266-3490

    Type: Location

  • 1516 SW 6th Ave

    Topeka, KS 666061696

    Phone: (785) 270-0047

    Fax: (785) 270-0086

    Type: Location

  • 6725 SW 29th St

    Topeka, KS 666145625

    Phone: (785) 354-0517

    Fax: (785) 478-1508

    Type: Location

  • 2216 E 32ND ST STE 101

    JOPLIN, MO 648043015

    Phone: (417) 556-2780

    Type: Mailing

  • 4807 E 181ST ST

    OVERBROOK, KS 665249505

    Phone: (785) 438-0309

    Type: Mailing

  • 4401, Wornall Road, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States

    KANSAS CITY, MO 641113220

    Phone: (816) 932-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $233.

Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Lilly USA, LLC ($93).

Total Amount

$233

General + Research + Ownership

Payments

13

Total payment records

General Amount

$233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050801000926INurse PractitionerKSTBD
I20100809000080INurse PractitionerMOTBD
I20230124000185INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7472$0
36415Insertion of needle into vein for collection of blood sample2522$0
99213Established patient office or other outpatient visit, 20-29 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 72719)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496659195View full group profile
NameSpecialtyState
-KS
-KS
-KS
Physician AssistantKS
-KS
Cardiac ElectrophysiologyKS
Nurse PractitionerKS
Nurse PractitionerKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How do payers reference MS. DANINE THERESA WILLIS (APRN)?
For MS. DANINE THERESA WILLIS (APRN), use NPI 1710953559 as the unique 10-digit identifier.
Active or inactive — what applies to MS. DANINE THERESA WILLIS (APRN)?
You should see MS. DANINE THERESA WILLIS (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with MS. DANINE THERESA WILLIS (APRN)?
MS. DANINE THERESA WILLIS (APRN)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. DANINE THERESA WILLIS (APRN)?
Travel planning: use Centerton, Arkansas as the reference point for MS. DANINE THERESA WILLIS (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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