Individual provider Active NPI

Sarah Willis

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1093470817
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1065512 Issued in TX
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

Updated by the provider on Jan 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304001767 TX Practitioner - Nurse Practitioner 9931593043 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Texas Billing, Inc. CurrentSince Feb 1, 2022 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 PastSince Jan 17, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.