MS. EMILY WILLIS (PMHNP-BC, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093460024

MS. EMILY WILLIS (PMHNP-BC, APRN) is a healthcare provider. based in Walton, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, APRN. They hold a License No. 0030795 (OH). The NPI Number for MS. EMILY WILLIS (PMHNP-BC, APRN) is 1093460024

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. EMILY WILLIS (PMHNP-BC, APRN)
NPI
1093460024
Phone
Not provided
Address
PO BOX 55
Enumeration Date
17 February 2022
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064083143
Graduation Year
2021 (5 years ago)
PAC ID
5395114748
Group Practice PAC ID
7719882521
Professional Enrollment ID
I20221207002152
Address ID
KY411691527RU1061XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

Provider Addresses for MS. EMILY WILLIS (PMHNP-BC, APRN)

  • PO BOX 55

    WALTON, KY 410940055

    Phone:

    Type: Mailing

  • 902 GALLIA ST

    PORTSMOUTH, OH 456624139

    Phone: (606) 923-7722

    Type: Location

  • PO BOX 1595

    ASHLAND, KY 411051595

    Phone:

    Type: Mailing

  • 1000 ASHLAND DR STE 301

    ASHLAND, KY 411017097

    Phone: (606) 408-3143

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $1,436.

Total Amount is formed as General ($1,436) + Research ($0) + Ownership ($0) = $1,436.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($499).

Total Amount

$1,436

General + Research + Ownership

Payments

98

Total payment records

General Amount

$1,436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20221207002152INurse PractitionerKYTBD

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 minutes4616$0
90833Psychotherapy with evaluation and management visit, 30 minutes3512$0
90792Psychiatric diagnostic evaluation with medical services1515$0
View full utilization report →

Insurance plans in this area (ZIP 41094)

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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: 7719882521View full group profile

Reviews

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Frequently asked questions

Does MS. EMILY WILLIS (PMHNP-BC, APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. EMILY WILLIS (PMHNP-BC, APRN) uses 1093460024.
Is MS. EMILY WILLIS (PMHNP-BC, APRN) listed as active for patients and plans?
The listing shows MS. EMILY WILLIS (PMHNP-BC, APRN) as active in the NPI system.
What is MS. EMILY WILLIS (PMHNP-BC, APRN)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MS. EMILY WILLIS (PMHNP-BC, APRN) here. Clinical services aligned with this taxonomy classification.
Where is MS. EMILY WILLIS (PMHNP-BC, APRN) based?
MS. EMILY WILLIS (PMHNP-BC, APRN) is tied to Walton, Kentucky in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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