Active NPI
Aleisha Willis, NP-C
- Family Nurse Practitioner
- Wilmington, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 019745
- Practice address
- 1500 Rombach Ave
Wilmington, OH 45177-2080 - Phone
- (937) 382-4046
- Fax
- (937) 383-1123
- NPI assigned
- Aug 19, 2016
- 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 Nurse Practitioner | 363LF0000X | 019745 | OH | Primary |
Addresses
Primary practice location
1500 Rombach Ave
Wilmington, OH 45177-2080
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other practice location 1
3218 Indian Ripple Rd
Beavercreek, OH 45440-3637
Phone (937) 426-8481
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ | ||
| Direct Messaging Address | awillis126962@direct.ketteringhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019745 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current | Accepting new patients | |
| Alliance Physicians Inc | Current | Accepting new patients |
Locations
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
514 High St
Waynesville, OH 45068
Phone (513) 897-6050
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
1157 N Monroe Dr
Ste 200
Xenia, OH 45385
Phone (937) 374-3484
Organizations & group practices 2
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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
dba Kettering Reproductive Medicine
- Reproductive Endocrinology Physician
- Kettering, OH
- NPI 1578824033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1801341789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROMBACH AVE",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772080",
"telephone_number": "937-382-4046",
"fax_number": "937-383-1123"
}
],
"practiceLocations": [
{
"address_1": "3218 Indian Ripple Rd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454403637",
"country_code": "US",
"telephone_number": "937-426-8481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "ALEISHA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "019745",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1500 Rombach Ave",
"city": "Wilmington",
"state": "OH",
"country_code": "US",
"postal_code": "451772080",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awillis126962@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1500 Rombach Ave",
"city": "Wilmington",
"state": "OH",
"country_code": "US",
"postal_code": "451772080",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, OH
- Michael Travis Wildermuth, R.PH
- Blain Michael Williams, PT
- Sara Marie Williams, AUD, CCC-A
- Jeffrey J Williamson
- Jordan Williamson
- Wilmington Chiropractic and Wellness Center LLC
- Wilmington City Schools
- Wilmington Foot and Ankle Inc
- Wilmington Healthcare Group, Inc. (Wilmington Nursing & Rehabilitation Center)
- Wilmington Medical Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.