Mary Michelle Will, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

667356 Issued in TX

Practice address

1811 Highway 287 N
Suite 150
Mansfield, TX 76063-7571

Phone

(817) 473-3979

Fax

(682) 518-8919

NPI assigned

Aug 8, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Practice Support ServicesGroup PAC ID 0840245312, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwill@muc-tx.direct.office.nextgen.com

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.

• Clinical Practice Support Services

  dba Mansfield Urgent Care

  • Primary Care Clinic/Center
  • Mansfield, TX
  • NPI 1881888907
  Medicare reassignment Care Compare group NPD
• Ellis Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Waxahachie, TX
  • NPI 1902856107
  NPD (past)
• Panhandle Emergency Physicians, P.a.

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1629020870
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1942210778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 BAHIA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750545517",
            "telephone_number": "817-539-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HIGHWAY 287 N",
            "address_2": "SUITE 150",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637571",
            "telephone_number": "817-473-3979",
            "fax_number": "682-518-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "MARY",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "667356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONERS",
            "identifier": "667356",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakena Wiggins, OT
• Noelle Wiggins
• Kristen Jill Wilck, RDN LD
• Emma Wilkerson
• Jennifer Wilkinson, D.C.
• Williams Dental Wellness PLLC
• Jacqueline V Williams-Rahman, LPTA
• Candadtrien Whitney Williams
• Debbie L Williams, P.A.
• Lailah Williams

• Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.