Active NPI
Sarah Willis
- Family Nurse Practitioner
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1065512
- Practice address
- 9180 Pinecroft Dr Ste 300
Shenandoah, TX 77380-3880 - Phone
- (281) 419-4600
- NPI assigned
- Nov 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1065512 | TX | Primary |
Addresses
Primary practice location
9180 Pinecroft Dr Ste 300
Shenandoah, TX 77380-3880
Mailing address
9180 Pinecroft Dr
Shenandoah, TX 77380-2794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Texas Billing, Inc. | Current | Accepting new patients | |
| Magella Medical Associates Billing, Inc. | Past | Accepting new patients | |
| Pediatrix Medical Group of Texas Billing, Inc. | Past | Accepting new patients | |
| Ut Physicians | Past | Accepting new patients |
Locations
508 Medical Center Blvd
Ste 320
Conroe, TX 77304
Phone (936) 523-5790
1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298
1901 N State Highway 360
Ste 102
Grand Prairie, TX 75050
Phone (972) 647-0994
7400 Fannin St
Ste 720
Houston, TX 77054
Phone (281) 601-4066
2100 Travis St
Ste 1250
Houston, TX 77002
Phone (346) 348-1980
17200 State Highway 249
Ste 220
Houston, TX 77064
Phone (713) 759-0932
5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100
23530 Kingsland Blvd
Ste 204
Katy, TX 77494
Phone (281) 419-4600
215 Kingwood Executive Dr
Ste 120
Kingwood, TX 77339
Phone (713) 796-1600
10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848
9180 Pinecroft Dr
Shenandoah, TX 77380
Phone (713) 486-1550
9180 Pinecroft Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 419-4600
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
12603 Southwest Fwy
Ste 315
Stafford, TX 77477
Phone (346) 245-5186
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- sarah.willisfnp.p32@direct.mednax.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Richardson, TX
- NPI 1568486264
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1093470817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773802794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR STE 300",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803880",
"telephone_number": "281-419-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1065512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.