Gary F Willen, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G53304 Issued in CA

Practice address

961 Mica Dr
Carson City, NV 89705-7269

Phone

(530) 544-8333

Fax

(530) 542-1455

NPI assigned

Jan 30, 2006

Sex

Male

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 CA, NV2 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

96.42 of 100Reported as group

Quality

93.48

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Mountain Meadows Medical Group of California, Inc.

  dba Tahoe Women's Care

  • Obstetrics & Gynecology Physician
  • Carson City, NV
  • NPI 1497936694
  Medicare reassignment NPD
• Mountain Meadows Medical Group of California, Inc.

  dba Tahoe Women's Care

  • Obstetrics & Gynecology Physician
  • S Lake Tahoe, CA
  • NPI 1972630432
  Medicare reassignment NPD

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1700857422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 MICA DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057269",
            "telephone_number": "775-267-6700",
            "fax_number": "775-267-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MICA DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057269",
            "telephone_number": "530-544-8333",
            "fax_number": "530-542-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEN",
        "first_name": "GARY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G53304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700857422",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Wilcox, RPH
• Wilder Voices Therapy LLC
• Carlie Madison Wilders, M.A., CCC-SLP
• Wildflower Telehealth Network Inc.
• Payden Ty Wildman, DDS
• Jenna Willford, LCSW
• William Street Dental Health Center PC
• Christian Williams
• Denise Williams
• Jennifer Williams

• Obstetrics & Gynecology Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Obstetrics & Gynecology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.