Robin Willcourt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6350 Issued in NV

Practice address

535 S Humboldt St
Battle Mountain, NV 89820-1988

Phone

(775) 635-2424

Fax

(775) 635-2437

NPI assigned

May 23, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robin.willcourt.1@25723.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Lander

  dba Lander County Community Health

  • Community Health Clinic/Center
  • Battle Mountain, NV
  • NPI 1447743703
  NPD
• County of Lander

  dba Lander County EMS

  • Land Ambulance
  • Battle Mountain, NV
  • NPI 1649497694
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912117359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S HUMBOLDT ST",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "898201988",
            "telephone_number": "775-635-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S HUMBOLDT ST",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "898201988",
            "telephone_number": "775-635-2424",
            "fax_number": "775-635-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Executive Park",
            "address_2": "Suite 275",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146743",
            "country_code": "US",
            "telephone_number": "949-502-4498 x114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLCOURT",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "6350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Todd Thompson, DMD
• Vision Consultants
• Myra Kay Wall
• Jordan Waugh, DPT
• Kimberly Dawn Whitehead

• Family Medicine Physician in Battle Mountain, NV
• Providers in Battle Mountain, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.