MISTY LYNN WILLIS (ARNP) – Nurse Practitioner, NPI 1942473053
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MISTY LYNN WILLIS (ARNP)
5149 N 9th Ave Ste G35
Pensacola, FL 325048733
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
5934 Berryhill Medical Park Dr # 1
Milton, FL 32570
Phone: (850) 623-4771
Fax: (850) 623-3938
Type: Location
Creighton Road, Gull Point, Pensacola, Escambia County, Florida, 32504, United States
PENSACOLA, FL 325047152
Phone: (850) 444-4700
Fax: (850) 444-7497
Type: Mailing
4304 Lancaster Dr
Niceville, FL 325784563
Phone: (850) 862-2385
Fax: (850) 862-0482
Type: Location
14114 Alabama St
Jay, FL 325651219
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
221 E Redstone Ave
Crestview, FL 325395373
Phone: (850) 398-6606
Fax: (850) 398-6424
Type: Location
6001 Industrial Blvd
Century, FL 325353312
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
2583 Gulf Breeze Pkwy
Gulf Breeze, FL 325633043
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
1717 N E St Ste 403
Pensacola, FL 325016334
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
2940 N Blue Angel Pkwy
Pensacola, FL 325062925
Phone: (850) 444-4700
Fax: (850) 434-8144
Type: Location
319 Green Acres Rd Ste 103
Fort Walton Beach, FL 325471170
Phone: (850) 862-2385
Fax: (850) 862-0482
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090923000586 | I | Nurse Practitioner | FL | TBD |
| I20180104000857 | I | Nurse Practitioner | AL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nephrology, Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nephrology, Internal Medicine | FL | |
| Nephrology, Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL |
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