Dianna Marie Willis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2405 Issued in OK

Practice address

1305 East Taft
Sapulpa, OK 74066-6033

Phone

(918) 224-8425

Fax

(918) 224-8426

NPI assigned

Sep 21, 2006

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, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

85.12 of 100Reported as group

Quality

83.76

Promoting interoperability

100

Improvement activities

40

Cost

56.64

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwillis22833@muscogeecreeknation.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.

• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923

  Family Medicine

  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment NPD
• Mission Street Medical Clinic Inc

  • Family Medicine Physician
  • Sapulpa, OK
  • NPI 1972600112
  NPD Authorized official
• Creek Nation Hospital & Clinics

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1033511480
  NPD
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1376641316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 EAST TAFT",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666033",
            "telephone_number": "918-224-8425",
            "fax_number": "918-224-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 EAST TAFT",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666033",
            "telephone_number": "918-224-8425",
            "fax_number": "918-224-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100111330D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Dawn Wiggins
• Laticia Rene Wiggins, B.S., C.M.
• Andrew George Wilkins, DDS
• Scott Matthew Williams Gabriel, LMSW
• Elizabeth Rachelle Williams
• Debra Jean Wilson, DPH
• James Wilson
• Mike William Wise
• Paula Wittman
• Denise Marouk Witzansky, LPC

• Family Medicine Physician in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.