Kerry C Willis, CRNP – Family Nurse Practitioner

Key facts

NPI: 1295701266
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: TP007004B (PA)
Practice address: 1001 S George St
York, PA 17403-3676
Phone: (717) 851-2450
NPI assigned: Feb 28, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 13

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.

Pinnacle Health Emergency Department Services LLC Emergency Medicine Physician · Harrisburg, PA · NPI 1487693404

Medicare reassignment Care Compare group NPD PA
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Physician · Langhorne, PA · NPI 1114955010

Medicare reassignment NPD PA
Pennsylvania Physician Services, LLC Emergency Medicine Physician · Wilkes Barre, PA · NPI 1497059802

Medicare reassignment NPD PA
Atlantic Physician Services of Maryland, P.C. Physician Assistant · Wilmington, DE · NPI 1730129594

Medicare reassignment NPD PA
Lehigh Valley Physician Group Developmental - Behavioral Pediatrics Physician · Allentown, PA · NPI 1780155689

Medicare reassignment PA
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Physician · Wilkes Barre, PA · NPI 1235374927

NPD
Lehigh Valley Physician Group Family Medicine Physician · East Stroudsburg, PA · NPI 1245093368

NPD
Lehigh Valley Physician Group Transplant Surgery Physician · Allentown, PA · NPI 1457309650

NPD
Lehigh Valley Physician Group Family Medicine Physician · Tamaqua, PA · NPI 1689438020

NPD
Pennsylvania Physician Services, LLC Emergency Medicine Physician · Scranton, PA · NPI 1184079105

NPD
Atlantic Physician Services of Maryland, PC Physician Assistant · Baltimore, MD · NPI 1174632376

NPD
Cedar Emergency Physicians Inc Urgent Care Clinic/Center · Hazleton, PA · NPI 1760413595

NPD (past)
Lehigh Valley Physician Group Family Medicine Physician · Sugarloaf, PA · NPI 1649034083

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2001
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Pinnacle Health Emergency Department Services, LLC (106 clinicians)

Practice addresses (Care Compare)

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 988-0000

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20050510000225	PA	Practitioner - Nurse Practitioner	5496795494	Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
TP007004B	PA	MD	Family Nurse Practitioner

Practice roles

Organization	Status	New patients
Pennsylvania Physician Services, LLC	Current since Feb 8, 2011	Accepting new patients
Emergency Care Services of Pennsylvania, P.C.	Current	Accepting new patients
Lehigh Valley Physician Group	Current	Accepting new patients
Atlantic Physician Services of Maryland, P.C.	Current since Dec 1, 2015	Accepting new patients
Atlantic Physician Services of Maryland, PC	Current since Dec 1, 2015	Accepting new patients
Lehigh Valley Physician Group	Current since Apr 13, 2007	Accepting new patients
Pinnacle Health Emergency Department Services LLC	Current since Apr 6, 2023	Accepting new patients
Pennsylvania Physician Services, LLC	Current since Feb 8, 2011	Accepting new patients
Emergency Care Services of Pennsylvania, P.C.	Current since May 15, 2008	Accepting new patients
Lehigh Valley Physician Group	Current since Apr 13, 2007	Accepting new patients
Cedar Emergency Physicians Inc	Past	Accepting new patients
Lehigh Valley Physician Group	Past	Accepting new patients

Locations

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

Direct secure messaging: kwillis411166@upmc.direct-ci.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	TP007004B	PA	Yes

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other providers in York, PA

All providers in York, PA · Family Nurse Practitioner in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.