Active NPI
Susan Elaine Wills, M.D.
- Family Medicine Physician
- Sherman, TX
National Provider Identifier
1497794044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L2057
- Practice address
- 262 E Evergreen St
Sherman, TX 75090 - Phone
- (903) 893-5546
- Fax
- (903) 892-0065
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L2057 | TX | Primary |
Addresses
Primary practice location
262 E Evergreen St
Sherman, TX 75090
Mailing address
262 E Evergreen St
Sherman, TX 75090
Phone (903) 893-5546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8V5390 | Other | TX | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060706000351 | TX | Practitioner - Family Practice | 4385656511 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2057 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wills Family Clinic, P.a. | Current | Accepting new patients | |
| Hillcrest Healthcare Services Inc | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Family Medicine | Past | Accepting new patients |
| PBHS Home Health DFW I, Inc | Past | Accepting new patients |
Locations
262 E Evergreen St
Sherman, TX 75090
Phone (903) 484-3668
Organizations & group practices 4
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.
-
- Specialist
- Sherman, TX
- NPI 1205877180
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sherman, TX
- NPI 1164463576
-
- Home Health Agency
- Frisco, TX
- NPI 1689021883
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1497794044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 E EVERGREEN ST",
"city": "SHERMAN",
"state": "TX",
"postal_code": "75090",
"telephone_number": "903-893-5546",
"fax_number": "903-892-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 E EVERGREEN ST",
"city": "SHERMAN",
"state": "TX",
"postal_code": "75090",
"telephone_number": "903-893-5546",
"fax_number": "903-892-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "SUSAN",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L2057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "8V5390",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.