DEKETRA MCDOWELL-WILLIS (APRN) – Nurse Practitioner, NPI 1124429386

DEKETRA MCDOWELL-WILLIS (APRN) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN001767 (NV). The NPI Number for DEKETRA MCDOWELL-WILLIS (APRN) is 1124429386

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DEKETRA MCDOWELL-WILLIS (APRN)
NPI
1124429386
Phone
(702) 384-5101
Address
PO BOX 81345
Enumeration Date
8 September 2014
Last Update Date
14 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023845101
Graduation Year
2014 (12 years ago)
PAC ID
0446561997
Group Practice PAC ID
8729989074
Professional Enrollment ID
I20150624002067
Address ID
NV891064113LA2000XWAYX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,972 NURSE PRACTITIONER in NV

Provider Addresses for DEKETRA MCDOWELL-WILLIS (APRN)

  • PO BOX 81345

    LAS VEGAS, NV 891801345

    Phone: (702) 384-5101

    Fax: (702) 382-5675

    Type: Mailing

  • 2000 WELLNESS WAY

    LAS VEGAS, NV 891064113

    Phone: (702) 384-5101

    Fax: (702) 387-0104

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,283.

Total Amount is formed as General ($1,283) + Research ($0) + Ownership ($0) = $1,283.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($724).

Total Amount

$1,283

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2015-06-24

PECOS data refreshed: 2026-06-15

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
I20150624002067INurse PractitionerNVTBD

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 minutes183115$0
99213Established patient office or other outpatient visit, 20-29 minutes12598$0
94618Test for exercise-induced lung stress5347$0
99212Established patient office or other outpatient visit, 10-19 minutes4136$0
99442Telephone medical discussion with physician, 11-20 minutes3328$0
View full utilization report →

Insurance plans in this area (ZIP 89180)

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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: 8729989074View full group profile
NameSpecialtyState
Nurse PractitionerNV
Pulmonary DiseaseNV
Pulmonary Disease, Internal MedicineNV
Nurse PractitionerNV
-NV
-NV
Pulmonary Disease, Internal MedicineNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What unique ID ties claims to DEKETRA MCDOWELL-WILLIS (APRN)?
NPI 1124429386 is assigned to DEKETRA MCDOWELL-WILLIS (APRN) under the national enumeration system.
Is DEKETRA MCDOWELL-WILLIS (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DEKETRA MCDOWELL-WILLIS (APRN) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for DEKETRA MCDOWELL-WILLIS (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for DEKETRA MCDOWELL-WILLIS (APRN)?
The page summarizes Las Vegas, Nevada for DEKETRA MCDOWELL-WILLIS (APRN); expand the address list for detail.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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