DAVID LEE WILLIS (GNP) – Gerontology Nurse Practitioner, NPI 1689703134

DAVID LEE WILLIS (GNP) is a healthcare provider. based in Allen, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials GNP. They hold a License No. 556431 (TX). The NPI Number for DAVID LEE WILLIS (GNP) is 1689703134

Main info

Male
21 Years Of Experience
Name
DAVID LEE WILLIS (GNP)
NPI
1689703134
Phone
(214) 491-4191
Address
515 W MAIN ST STE 115
Enumeration Date
2 March 2007
Last Update Date
29 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2144914191
Graduation Year
2005 (21 years ago)
PAC ID
6204937451
Group Practice PAC ID
1850603564
Professional Enrollment ID
I20070718000613
Address ID
TX750714133MC275XXTRLX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DAVID LEE WILLIS (GNP)

  • 515 W MAIN ST STE 115

    ALLEN, TX 750138057

    Phone: (214) 491-4191

    Type: Location

  • 275 HOLDER TRL

    MCKINNEY, TX 750714133

    Phone: (214) 491-4191

    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: 2007-07-18

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
I20070718000613INurse PractitionerTXTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1,642377$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg1,084305$0
96372Injection of drug or substance under skin or into muscle1,065301$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes950208$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes903199$0
View full utilization report →

Insurance plans in this area (ZIP 75013)

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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: 1850603564View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the standard ID for DAVID LEE WILLIS (GNP) in the U.S.?
In the U.S., DAVID LEE WILLIS (GNP) is identified by NPI 1689703134.
Quick check: is DAVID LEE WILLIS (GNP) active?
Public NPPES data shows DAVID LEE WILLIS (GNP) with an active NPI status right now.
What services align with DAVID LEE WILLIS (GNP)'s listing?
DAVID LEE WILLIS (GNP)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to DAVID LEE WILLIS (GNP)?
The directory associates DAVID LEE WILLIS (GNP) with Allen, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for DAVID LEE WILLIS (GNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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