Active NPI
Christopher D Willis, DO
- Psychiatry Physician
- Bolivar, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2019037704
- Practice address
- 1240 N Butterfield Rd
Bolivar, MO 65613-3016 - Phone
- (417) 326-6021
- NPI assigned
- Feb 23, 2018
- Last updated
- Jul 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-16311 | AR | |
| Psychiatry Physician | 2084P0800X | 2019037704 | MO | Primary |
Addresses
Primary practice location
1240 N Butterfield Rd
Bolivar, MO 65613-3016
Mailing address
1240 N Butterfield Rd
Bolivar, MO 65613-3016
Other practice location 1
500 N Medical Dr
Ash Grove, MO 65604-1005
Phone (417) 751-2100
Other practice location 2
502 S Miller Rd
Willard, MO 65781-9753
Phone (417) 761-6655
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2001 W Broadway St
Bolivar, MO 65613-1861
2885 W Battlefield St
Springfield, MO 65807-3952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16311 | AR | MD | Psychiatry Physician |
| 011285 | AZ | MD | Psychiatry Physician |
| 2019037704 | MO | MD | Psychiatry Physician |
| OP61587191 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrell, Inc. | Current | Accepting new patients | |
| Burrell, Inc. | Current | Accepting new patients |
Locations
17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000
17611 E US Highway 24
#H
Independence, MO 64056
Phone (816) 836-6350
1300 E Bradford Pkwy
#H
Springfield, MO 65804
1300 E Bradford Pkwy
Bldg A
Springfield, MO 65804
Phone (417) 761-5214
2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214
800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Burrell Behavioral Health
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1275541740
-
- Surgery Physician
- Bolivar, MO
- NPI 1568566131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1922509074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 N BUTTERFIELD RD",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 N BUTTERFIELD RD",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133016",
"telephone_number": "417-326-6021"
}
],
"practiceLocations": [
{
"address_1": "500 N Medical Dr",
"address_purpose": "LOCATION",
"city": "Ash Grove",
"state": "MO",
"postal_code": "656041005",
"country_code": "US",
"telephone_number": "417-751-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "502 S Miller Rd",
"address_purpose": "LOCATION",
"city": "Willard",
"state": "MO",
"postal_code": "657819753",
"country_code": "US",
"telephone_number": "417-761-6655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-23",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-16311",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2019037704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.