Individual provider Active NPI

Bailey Alexis Willows, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1679223291
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15533 Issued in TX
Practice address
5449 Chatsworth LN
Fort Worth, TX 76244-5022
Phone
(817) 455-7756
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15533 TX Primary

Addresses

Primary practice location

5449 Chatsworth LN
Fort Worth, TX 76244-5022

Mailing address

5449 Chatsworth LN
Fort Worth, TX 76244-5022
Phone (817) 455-7756

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519000125 TX Practitioner - Physician Assistant 6204213911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seema Kazi MD PAGroup PAC ID 5193040772, 22 clinicians
Connections Wellness GroupGroup PAC ID 8628582004, 12 clinicians

Practice addresses (Care Compare)

200 Westpark Way
Euless, TX 76040-3963
Phone (817) 488-8998

2560 Central Park Ave
Suite 200
Flower Mound, TX 75028-1566
Phone (877) 747-4294

4907 S Collins St
Suite 121
Arlington, TX 76018-1157
Phone (877) 747-4294

6101 W Plano Pkwy
Plano, TX 75093-8373
Phone (877) 747-4294

9726 N Beach St
Keller, TX 76244-6478
Phone (877) 747-4294

Merit-based Incentive Payment System (MIPS)

Final score
81.48 of 100Reported as group
Quality
85.37
Promoting interoperability
88
Improvement activities
40
Cost
62.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15533TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physicians Group PastSince Oct 3, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1679223291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 CHATSWORTH LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445022",
            "telephone_number": "817-455-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 CHATSWORTH LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445022",
            "telephone_number": "817-455-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOWS",
        "first_name": "BAILEY",
        "middle_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.