ALIKA MARIE WILLIS (NP-C) – Nurse Practitioner, NPI 1356580302

ALIKA MARIE WILLIS (NP-C) is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 6735974-4405 (UT). The NPI Number for ALIKA MARIE WILLIS (NP-C) is 1356580302

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ALIKA MARIE WILLIS (NP-C)
NPI
1356580302
Phone
(801) 213-3900
Address
PO BOX 510708
Enumeration Date
16 February 2009
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015853229
Graduation Year
2008 (18 years ago)
PAC ID
6709937964
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20090629000235
Address ID
UT841320100SA50XXXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
awillis48135@direct.med.utah.edu
Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness95
Years active:17State licenses:1Other names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for ALIKA MARIE WILLIS (NP-C)

  • PO BOX 510708

    SALT LAKE CITY, UT 841510708

    Phone: (801) 213-3900

    Type: Mailing

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 852 N 500 W

    PROVO, UT 846043322

    Phone: (801) 357-4417

    Type: Location

  • 395 W Cougar Blvd Ste 504

    Provo, UT 846043323

    Phone: (801) 357-7291

    Type: Location

  • 5126 W Daybreak Pkwy

    South Jordan, UT 840955994

    Phone: (801) 213-4500

    Type: Location

  • Mountain America Credit Union, 5382 W, Daybreak Parkway, Daybreak, Trail Crossing, South Jordan, Salt Lake County, Utah, 84009, United States

    SOUTH JORDAN, UT 840955994

    Phone: (801) 213-4500

    Type: Location

  • 395 W COUGAR BLVD STE 504

    PROVO, UT 846043323

    Phone: (801) 357-7291

    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: 2009-06-29

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
I20090629000235INurse PractitionerUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes183155$0
99214Established patient office or other outpatient visit, 30-39 minutes4745$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 84151)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

Can I cross-check ALIKA MARIE WILLIS (NP-C) using NPI 1356580302?
NPI 1356580302 belongs to ALIKA MARIE WILLIS (NP-C); compare other details if you need extra assurance.
Would ALIKA MARIE WILLIS (NP-C) appear as active to a payer?
You can treat ALIKA MARIE WILLIS (NP-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ALIKA MARIE WILLIS (NP-C)?
ALIKA MARIE WILLIS (NP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Utah is ALIKA MARIE WILLIS (NP-C) registered?
Use Salt Lake City, Utah as the headline location for ALIKA MARIE WILLIS (NP-C) here.
Can I trust this NPI listing for ALIKA MARIE WILLIS (NP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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