Deketra McDowell-Willis, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN001767 Issued in NV

Practice address

2000 Wellness Way
Las Vegas, NV 89106-4113

Phone

(702) 384-5101

Fax

(702) 387-0104

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pulmonary Associates IncGroup PAC ID 8729989074, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.66 of 100Reported as group

Quality

64.36

Promoting interoperability

0

Improvement activities

40

Cost

74.52

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCIBCA

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.

• Pulmonary Associates, Inc.

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1952436115
  Medicare reassignment Care Compare group NPD
• Serenity Mental Health

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1497047203
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1124429386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891801345",
            "telephone_number": "702-384-5101",
            "fax_number": "702-382-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WELLNESS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064113",
            "telephone_number": "702-384-5101",
            "fax_number": "702-387-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL-WILLIS",
        "first_name": "DEKETRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary McDonough
• Robert S McDonough
• Zachary Layton McDonough
• Tracy McDougal
• Robin McDowell-Ingram, PHARMD
• Anthony McDowell
• Ashley E McDowell, PA-C
• Brittany McDowell
• Gloria Jean McDowell
• Joshua McDowell

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.
• 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.

Verify at the official NPI Registry.