CORRIE J WILLIS (RNBC, APMHCNS) – Psychiatric/Mental Health Nurse Practitioner, NPI 1891771010

CORRIE J WILLIS (RNBC, APMHCNS) is a healthcare provider. based in Kahoka, Missouri. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials RNBC, APMHCNS. They hold a License No. 107534 (MO). The NPI Number for CORRIE J WILLIS (RNBC, APMHCNS) is 1891771010

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
CORRIE J WILLIS (RNBC, APMHCNS)
NPI
1891771010
Phone
(660) 727-1111
Address
203 E Commercial St
Enumeration Date
20 December 2005
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6602584188
Graduation Year
1992 (34 years ago)
PAC ID
1052332848
Group Practice PAC ID
0244256246
Professional Enrollment ID
I20091007000601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

62 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MO

Provider Addresses for CORRIE J WILLIS (RNBC, APMHCNS)

  • 203 E Commercial St

    Kahoka, MO 634451710

    Phone: (660) 727-1111

    Fax: (660) 727-1162

    Type: Location

  • 3029 County Road 1325

    Moberly, MO 652705152

    Phone: (660) 263-1113

    Fax: (660) 263-4572

    Type: Location

  • 1720 Prospect Dr

    Macon, MO 635522615

    Phone: (660) 395-0111

    Fax: (660) 395-0113

    Type: Location

  • 141 Communication Dr

    Hannibal, MO 634013670

    Phone: (573) 603-1460

    Fax: (573) 603-1462

    Type: Location

  • 614 W Lockling St

    Brookfield, MO 646282003

    Phone: (660) 258-4188

    Fax: (660) 258-5632

    Type: Location

  • 1628 Oklahoma Ave

    Trenton, MO 646832565

    Phone: (660) 359-4600

    Fax: (660) 359-4286

    Type: Location

  • 3531 Stardust Dr

    Hannibal, MO 634016224

    Phone: (573) 603-1460

    Fax: (573) 603-1462

    Type: Location

  • 303, Weller Street, Macon, Macon County, Missouri, 63552, United States

    MACON, MO 635521942

    Phone: (660) 395-0180

    Fax: (660) 395-0181

    Type: Mailing

  • 2015 S Halliburton St

    Kirksville, MO 635014646

    Phone: (660) 626-0698

    Fax: (660) 626-5872

    Type: Location

  • 210 N Williams St Unit C

    Moberly, MO 652701583

    Phone: (660) 263-7651

    Fax: (660) 263-2815

    Type: Location

  • 1101 Jamison St

    Kirksville, MO 635013943

    Phone: (660) 665-1962

    Fax: (660) 627-0642

    Type: Location

  • 4600 McMasters Ave

    Hannibal, MO 634012244

    Phone: (573) 603-1460

    Fax: (573) 603-1462

    Type: Location

  • 101 Adams St

    Jefferson City, MO 651013058

    Phone: (573) 556-6589

    Fax: (573) 556-6294

    Type: Location

  • 900 E LAHARPE ST

    KIRKSVILLE, MO 635014520

    Phone: (660) 665-1962

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $552.

Total Amount is formed as General ($552) + Research ($0) + Ownership ($0) = $552.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($112).

Total Amount

$552

General + Research + Ownership

Payments

32

Total payment records

General Amount

$552

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2009-10-07

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
I20091007000601ICertified Clinical Nurse Specialist (Cns)MOTBD

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 minutes29477$0
99215Established patient office or other outpatient visit, 40-54 minutes3327$0
View full utilization report →

Insurance plans in this area (ZIP 63445)

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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: 0244256246View full group profile
NameSpecialtyState
Mental Health CounselorOK
-OK
Mental Health CounselorMO
P S Y C H I A T R YMO
Mental Health CounselorMO
Mental Health CounselorMO
P S Y C H I A T R YMO
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

How do I look up CORRIE J WILLIS (RNBC, APMHCNS) by NPI?
Use NPI 1891771010 when you need to reference CORRIE J WILLIS (RNBC, APMHCNS) in forms, claims, or directories.
Is CORRIE J WILLIS (RNBC, APMHCNS) currently active in the NPI registry?
CMS-published data lists CORRIE J WILLIS (RNBC, APMHCNS) as an active registrant.
What field does CORRIE J WILLIS (RNBC, APMHCNS) work in?
You can think of CORRIE J WILLIS (RNBC, APMHCNS) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for CORRIE J WILLIS (RNBC, APMHCNS)?
The page summarizes Kahoka, Missouri for CORRIE J WILLIS (RNBC, APMHCNS); expand the address list for detail.
How can I contact CORRIE J WILLIS (RNBC, APMHCNS)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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