MS. KATHERINE MARIE WILLIS (PA-C) – Physician Assistant, NPI 1326441353
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MS. KATHERINE MARIE WILLIS (PA-C)
2500 NE Neff Rd
Bend, OR 977016015
Phone: (541) 706-6892
Fax: (541) 706-6813
Type: Location
1501 NE Medical Center Dr
Bend, OR 977016051
Phone: (541) 392-2811
Type: Location
3340 E GOLDSTONE DR
MERIDIAN, ID 836421026
Phone: (208) 302-9342
Fax: (208) 367-5180
Type: Mailing
3325 POCAHONTAS RD
BAKER CITY, OR 978141464
Phone: (541) 524-8000
Fax: (541) 524-7955
Type: Location
2500 NE NEFF RD
BEND, OR 977016015
Phone: (541) 706-6892
Fax: (541) 706-6813
Type: Mailing
1501 NE MEDICAL CENTER DR
BEND, OR 977016051
Phone: (541) 392-2811
Type: Mailing
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: 2015-01-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150116001162 | I | Physician Assistant | OR | 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 97701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Nurse Practitioner | TX | |
| Family Practice | OR | |
| Physician Assistant | TN | |
| Nurse Practitioner | OR | |
| Physician Assistant | NY | |
| - | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR |
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