Andrea Willey, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A75733 Issued in CA

Practice address

2277 Fair Oaks Blvd
Suite 402
Sacramento, CA 95825-5533

Phone

(916) 922-7546

Fax

(916) 922-6647

NPI assigned

Aug 1, 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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Dermatology

Education

University of California, San Francisco School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.37 of 100Reported as individual

Quality

100

Promoting interoperability

97

Improvement activities

40

Cost

70.41

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Andrea Willey MD a Professional Medical Corporation

  • Dermatology Physician
  • Sacramento, CA
  • NPI 1053744896
  Medicare reassignment NPD Authorized official
• Laser & Skin Surgery Medical Group Inc

  • Procedural Dermatology Physician
  • Sacramento, CA
  • NPI 1326150913
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1952317455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD STE 402",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255596",
            "telephone_number": "916-922-7546",
            "fax_number": "916-922-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "SUITE 402",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255533",
            "telephone_number": "916-922-7546",
            "fax_number": "916-922-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A75733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Harrison Wilkins
• Greg M Wilkinson, PA
• Patricia Dianne Will, MD
• Ashley Deanne Willams
• Weston Willard
• William Bargar MD
• William Chao Dental Corporation
• William Henry Chan M D Professional Corp.
• William P. Duffy, M.D., Inc.
• William Xu, Doctor of Physical Therapy, Inc.

• MOHS-Micrographic Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.