KERRY C WILLIS (CRNP) – Family Nurse Practitioner, NPI 1295701266
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for KERRY C WILLIS (CRNP)
1001 S GEORGE ST
YORK, PA 174033676
Phone: (717) 851-2450
Type: Location
North 8th Street, Union Township, Schuylkill County, Pennsylvania, 17967, United States
RINGTOWN, PA 179679409
Phone: (570) 578-6174
Type: Mailing
57, West Juniper Street, Hazleton Station, Hazleton, Luzerne County, Pennsylvania, 18201, United States
HAZLETON, PA 182016410
Phone: (570) 501-1017
Fax: (570) 501-2695
Type: Location
601 MEMORY LN
YORK, PA 174022231
Phone: (717) 851-1405
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $15 |
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: 2005-05-10
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 |
|---|---|---|---|---|
| I20050510000225 | I | Nurse Practitioner | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 111 | 110 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 34 | 33 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 18 | 18 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 17403)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | PA | |
| - | PA | |
| - | PA | |
| Emergency Medicine | PA | |
| Nurse Practitioner | PA | |
| Emergency Medicine | MD | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.