Sue E. Roberts-Willis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71012041A Issued in IN

Practice address

302 NE 4TH St
Washington, IN 47501-2725

Phone

(812) 789-3157

NPI assigned

Dec 23, 2021

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sue.roberts-willis.2@7598.direct.athenahealth.com
• Direct secure messaging: sue.roberts-willis.1@7598.direct.athenahealth.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.

• St Mary'S Medical Group, LLC

  dba Ascension Medical Group St. Vincent Evansville

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539
  NPD
• St Mary'S Medical Group, LLC

  dba Ascension Medical Group St. Vincent Evansville

  • Nephrology Physician
  • Evansville, IN
  • NPI 1619307873
  NPD
• Wrightchoice Healthcare, LLC

  dba 4th Street Clinic

  • Family Nurse Practitioner
  • Washington, IN
  • NPI 1023778511
  NPD

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1285394775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NE 4TH ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012725",
            "telephone_number": "812-789-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NE 4TH ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012725",
            "telephone_number": "812-789-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 St Marys Epworth Xing Ste B100",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476309497",
            "country_code": "US",
            "telephone_number": "812-469-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS-WILLIS",
        "first_name": "SUE",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012041A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina S Reed, PTA
• Renal Life Link Inc (Daviess County Dialysis)
• Richard Hale, OD, Inc.
• Kayla Richter
• Stardom Riker
• David Brian Robinson, M.D.
• Tracee Nicole Rode
• Molly Rogers
• Roundhouse Emergency Physicians LLC
• Angela M Russell, LCSW

• Family Nurse Practitioner in Washington, IN
• Providers in Washington, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.

Verify at the official NPI Registry.