Corrie J Willis, RNBC, APMHCNS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

107534 Issued in MO

Practice address

900 E Laharpe St
Kirksville, MO 63501-4520

Phone

(660) 665-1962

NPI assigned

Dec 20, 2005

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 names 1

• Corrie J Hughes Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Michigan State University College of Human Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Burrell, Inc.

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1275541740

  MO

  Medicare reassignment NPD
• Preferred Family Healthcare, Inc

  • Community/Behavioral Health Agency
  • Kirksville, MO
  • NPI 1649474206

  MO

  Medicare reassignment
• Burrell, Inc.

  • Community/Retail Pharmacy
  • Springfield, MO
  • NPI 1194190066
  NPD
• Health and Healing LLC

  • Clinical Social Worker
  • Macon, MO
  • NPI 1548437098
  NPD (past)
• Preferred Family Healthcare

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Macon, MO
  • NPI 1134252034
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kirksville Missouri Hospital Company, LLC

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1891771010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014520",
            "telephone_number": "660-665-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014520",
            "telephone_number": "660-665-1962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 S Halliburton St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014646",
            "country_code": "US",
            "telephone_number": "660-626-0698",
            "fax_number": "660-626-5872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 W Lockling St",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "MO",
            "postal_code": "646282003",
            "country_code": "US",
            "telephone_number": "660-258-4188",
            "fax_number": "660-258-5632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Williams St Unit C",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652701583",
            "country_code": "US",
            "telephone_number": "660-263-7651",
            "fax_number": "660-263-2815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Jamison St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635013943",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "fax_number": "660-627-0642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1628 Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646832565",
            "country_code": "US",
            "telephone_number": "660-359-4600",
            "fax_number": "660-359-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 E Commercial St",
            "address_purpose": "LOCATION",
            "city": "Kahoka",
            "state": "MO",
            "postal_code": "634451710",
            "country_code": "US",
            "telephone_number": "660-727-1111",
            "fax_number": "660-727-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3029 County Road 1325",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652705152",
            "country_code": "US",
            "telephone_number": "660-263-1113",
            "fax_number": "660-263-4572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Prospect Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "MO",
            "postal_code": "635522615",
            "country_code": "US",
            "telephone_number": "660-395-0111",
            "fax_number": "660-395-0113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Adams St",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651013058",
            "country_code": "US",
            "telephone_number": "573-556-6589",
            "fax_number": "573-556-6294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3531 Stardust Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016224",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Communication Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634013670",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 McMasters Ave",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634012244",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CORRIE",
        "middle_name": "J",
        "credential": "RNBC, APMHCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "107534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRIE",
            "last_name": "HUGHES",
            "middle_name": "J",
            "credential": "RNBC, APMHCNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Steven West
• Meadow Will, DO
• John L Williams, CRNA
• Lindsey Ann Williams, SPEECH AND LANGUAGE
• Matthew L Williams, DMD
• Margaret Wilson, DO
• Morriah J Wilson, LMSW
• Vanessa Ann Wilson, LCSW
• Abigail Rose Wilt, PT, DPT
• April Winkler, FNP-BC

• All providers in Kirksville, MO
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.
• 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.