Individual provider Active NPI

Christopher D Willis, DO

  • Psychiatry Physician
  • Bolivar, MO
National Provider Identifier
1922509074
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2019037704 Issued in MO
Practice address
1240 N Butterfield Rd
Bolivar, MO 65613-3016
Phone
(417) 326-6021
NPI assigned
Feb 23, 2018
Last updated
Jul 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022002908 MO Practitioner - Psychiatry 0244605988 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
E-16311ARMDPsychiatry Physician
011285AZMDPsychiatry Physician
2019037704MOMDPsychiatry Physician
OP61587191WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Oct 15, 2024 Accepting new patients
Burrell, Inc. CurrentSince Oct 15, 2024 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.

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

Verify at the official NPI Registry.