Pamela Ann Willis-Brown, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-75166-072 Issued in KS

Practice address

720 Medical Center Dr
Newton, KS 67114-8778

Phone

(316) 284-5155

Fax

(316) 284-5050

NPI assigned

Jun 28, 2005

Last updated

Jul 27, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OK

  Medicare reassignment NPD
• Ascension Medical Group Via Christi, PA

  dba Ascension Via Christi Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1073523452
  NPD (past)
• Wellness Strategies LLC

  dba Premier Physical Medicine

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1578847182
  NPD (past)
• Lone Star Circle of Care

  dba Lone Star Circle of Care at Collinfield

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1699289728
  NPD (past)
• North Texas Neurosurgical Associates

  dba Neurotrend

  • Specialist
  • Richardson, TX
  • NPI 1376636167
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1306843909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035",
            "telephone_number": "316-689-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-284-5155",
            "fax_number": "316-284-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS-BROWN",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75166-072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "53-75166-072",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Mae Wildin, RN
• Jan Mark Willems, LCMFT
• Williams Medical Group Practice, LLC (Xpress Wellness Urgent Care)
• Dana Jo Williams, PT
• Michael K Williams, MD
• Wilson Drug PA
• Nicholas Robert-Vincent Wilson, ATC
• William Leon Wilson, D.C.
• Colin Quinn Windham, M.D.
• Jacqueline Arlene Winslow, MS

• Family Nurse Practitioner in Newton, KS
• Providers in Newton, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.