Active NPI
Jessica Willis, CRNA
- Certified Registered Nurse Anesthetist
- Sanford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9305358
- Practice address
- 108 Temple Dr
Sanford, FL 32771 - Phone
- (407) 314-6999
- NPI assigned
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9305358 | FL | Primary |
Addresses
Primary practice location
108 Temple Dr
Sanford, FL 32771
Mailing address
108 Temple Dr
Sanford, FL 32771
Phone (407) 314-6999
Other practice location 1
52 Underwood St
Orlando, FL 32806-1110
Phone (407) 527-7429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (954) 939-5000
52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111
600 E Dixie Ave
Leesburg, FL 34748-5925
83 W Miller St
Orlando, FL 32806-2031
Phone (954) 939-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9305358 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villages Regional Hospital Physician Services LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Anesthesiologists of Greater Orlando Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jwillis550355@direct.shands.ufl.edu
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1457300998
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Anesthesiology Physician
- Leesburg, FL
- NPI 1598624421
-
- Anesthesiology Physician
- Clermont, FL
- NPI 1669140745
Nurse Anesthetist, Certified Registered
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1104275874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 TEMPLE DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "32771",
"telephone_number": "407-314-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 TEMPLE DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "32771",
"telephone_number": "407-314-6999"
}
],
"practiceLocations": [
{
"address_1": "52 Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "407-527-7429",
"fax_number": "321-843-2196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "JESSICA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9305358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.