MARY KRISTINE WILLIS (P.A.-C) – Physician Assistant, NPI 1083992267

Physician Assistant

MARY KRISTINE WILLIS (P.A.-C) is a healthcare provider. based in Dallas, Texas. specializing in Physician Assistant. They hold the professional credentials P.A.-C. They hold a License No. PA9119067 (FL). The NPI Number for MARY KRISTINE WILLIS (P.A.-C) is 1083992267

Main info

Female

15 Years Of Experience

Accepts Medicare Assignment

Name

MARY KRISTINE WILLIS (P.A.-C)

NPI

1083992267

Phone

(214) 456-7000

Address

1935 MEDICAL DISTRICT DR

Enumeration Date

22 July 2011

Last Update Date

29 January 2025

Doctor Profile

Medical School Name

UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED

Secondary Phone

2145920701

Graduation Year

2011 (15 years ago)

PAC ID

1153579933

Group Practice PAC ID

2567891609

Professional Enrollment ID

I20120920000221

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for MARY KRISTINE WILLIS (P.A.-C)

1935 MEDICAL DISTRICT DR
DALLAS, TX 752357701
Phone: (214) 456-7000
Type: Location
9408 LANSHIRE DR
DALLAS, TX 752383410
Phone: (469) 417-8213
Type: Mailing
500 Ala Moana Blvd Ste 7400
Honolulu, HI 968134902
Phone: (415) 424-4266
Fax: (415) 520-6633
Type: Location
8300 Esters Blvd Ste 900
Irving, TX 750632233
Phone: (415) 424-4266
Fax: (415) 520-6633
Type: Location
475 Biltmore Way Ste 109
Coral Gables, FL 331345724
Phone: (415) 424-4266
Fax: (415) 520-6633
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 75235)

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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: 2567891609View full group profile