BENJAMIN WILLS – Certified Registered Nurse Anesthetist, NPI 1245879501

BENJAMIN WILLS is a healthcare provider. based in Fort worth, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 145107 (TX). The NPI Number for BENJAMIN WILLS is 1245879501

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN WILLS
NPI
1245879501
Phone
Not provided
Address
130 TREETOP DR
Enumeration Date
3 January 2020
Last Update Date
18 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724225941
Graduation Year
2019 (7 years ago)
PAC ID
1052741477
Group Practice PAC ID
7416203773
Professional Enrollment ID
I20200424002108
Address ID
TX751655240WA2400XIXXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,296 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for BENJAMIN WILLS

  • 130 TREETOP DR

    FORT WORTH, TX 761265587

    Phone:

    Type: Mailing

  • 1500 S MAIN ST

    FORT WORTH, TX 761044917

    Phone: (817) 702-3431

    Type: Location

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: 2020-04-24

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
I20200424002108ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4949$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4848$0
00812Anesthesia for exam of colon using an endoscope2929$0
00813Anesthesia for procedure on small and large bowel using an endoscope2121$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1814$0
View full utilization report →

Insurance plans in this area (ZIP 76126)

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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: 7416203773View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How is BENJAMIN WILLS identified in CMS data?
CMS-hosted NPPES data lists BENJAMIN WILLS with NPI 1245879501.
Is BENJAMIN WILLS still practicing?
BENJAMIN WILLS is currently listed as active in the public NPI registry.
What taxonomy line describes BENJAMIN WILLS?
For research purposes, treat BENJAMIN WILLS as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does BENJAMIN WILLS list a practice location?
Patients near Fort Worth, Texas may find BENJAMIN WILLS in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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