DR. KRISTIN LEE WILLS (D.O.) – Emergency Medicine Physician, NPI 1710921929

DR. KRISTIN LEE WILLS (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 3995 (OK). The NPI Number for DR. KRISTIN LEE WILLS (D.O.) is 1710921929

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN LEE WILLS (D.O.)
NPI
1710921929
Phone
(918) 744-3528
Address
1923 S UTICA AVE
Enumeration Date
16 June 2006
Last Update Date
28 August 2014

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9182866331
Graduation Year
2001 (25 years ago)
PAC ID
8325019185
Group Practice PAC ID
4486685757
Professional Enrollment ID
I20040804001066
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KRISTIN LEE WILLS (D.O.)

  • Ascension Saint John Medical Center, 1923, South Utica Avenue, Swan Lake, Tulsa, Tulsa County, Oklahoma, 74104, United States

    ST JOHN EMERGENCY DEPT

    TULSA, OK 741046520

    Phone: (918) 744-3528

    Fax: (918) 744-3529

    Mailing address matches the actual address.

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: 2004-08-04

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
I20040804001066IEmergency MedicineOKTBD

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

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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 74104)

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Provider's Procedures

DR. KRISTIN LEE WILLS (D.O.) performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEOK93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report126124

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: 4486685757View full group profile

Reviews

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Frequently asked questions

How do I look up DR. KRISTIN LEE WILLS (D.O.) by NPI?
Use NPI 1710921929 when you need to reference DR. KRISTIN LEE WILLS (D.O.) in forms, claims, or directories.
Is DR. KRISTIN LEE WILLS (D.O.)'s NPI currently valid?
The extract we use shows DR. KRISTIN LEE WILLS (D.O.) as active.
What field does DR. KRISTIN LEE WILLS (D.O.) work in?
You can think of DR. KRISTIN LEE WILLS (D.O.) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KRISTIN LEE WILLS (D.O.)?
The page summarizes Tulsa, Oklahoma for DR. KRISTIN LEE WILLS (D.O.); expand the address list for detail.
Is DR. KRISTIN LEE WILLS (D.O.) a real provider?
This page reflects official NPPES data for NPI 1710921929. Always confirm identity and privileges with the practice and licensing boards.

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