Mark L Willats, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

261 Issued in NE

Practice address

2 W 42ND St
Ste 2700
Scottsbluff, NE 69361-4669

Phone

(308) 632-3668

Fax

(308) 635-1355

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Western Plains Foot Center, P.C.

  • Foot Surgery Podiatrist
  • Scottsbluff, NE
  • NPI 1750503082

  O20100930040650

  Same enrollment

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
• Morrill County Community Hospital Hospital, Bridgeport, NE, CCN 281318
• Garden County Health Services Hospital, Oshkosh, NE, CCN 281310
• Garden County Health Services Hospital, Oshkosh, NE, CCN 280780
• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: willats.mark.002.0270010@wpfc.meditab.direct-ci.com

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.

• Western Plains Foot Center, P.C.

  • Foot Surgery Podiatrist
  • Scottsbluff, NE
  • NPI 1750503082

  Primary Podiatric Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Care Compare affiliation
• Garden County Hospital & Nursing Home

  • Rural Acute Care Hospital
  • Oshkosh, NE
  • NPI 1962475467
  Care Compare affiliation
• Morrill County Community Hospital

  • Critical Access Hospital
  • Bridgeport, NE
  • NPI 1609816149
  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1174539555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "STE 2700",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614669",
            "telephone_number": "308-632-3668",
            "fax_number": "308-635-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "STE 2700",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614669",
            "telephone_number": "308-632-3668",
            "fax_number": "308-635-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLATS",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "261",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NE",
            "license": "261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081685307",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wildcat Hills Behavioral Health, LLC
• Stephanie Wilhelm
• Wilkare, Inc.
• Jessica E Wilkinson
• Anita Wilkison
• Carrie Williams
• Daniel C Williams, M.D.
• Linda Williams
• Nancy Lynn Williams
• Randall Williams, MD

• Primary Podiatric Medicine Podiatrist in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Primary Podiatric Medicine Podiatrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.