Individual provider Active NPI

Korrie Louise Willson, FNP-BC

  • Family Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1962106096
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704297735 Issued in MI
Practice address
4497 Sheffield PL
Bay City, MI 48706-2554
Phone
(989) 894-8400
NPI assigned
Mar 30, 2023
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704297735 MI Primary

Addresses

Primary practice location

4497 Sheffield PL
Bay City, MI 48706-2554

Mailing address

4497 Sheffield PL
Bay City, MI 48706-2554
Phone (989) 894-8400

Other names 1

  • Korrie Louise Horne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240924000271 MI Practitioner - Nurse Practitioner 5395107809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent M Boyce MD PCGroup PAC ID 9931007838, 9 clinicians

Practice addresses (Care Compare)

106 E Main St
Sebewaing, MI 48759-1568
Phone (989) 883-3800

4497 Sheffield PL
Bay City, MI 48706-2554
Phone (989) 883-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704297735MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brent M Boyce MD PC CurrentSince Feb 2, 2026 Accepting new patients
Kerr Family Medicine PLLC PastSince Apr 1, 2023 Accepting new patients
Health Balance LLC Past Accepting new patients

Locations

4497 Sheffield Pl
Bay City, MI 48706
Phone (989) 883-3800

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1962106096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4497 SHEFFIELD PL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062554",
            "telephone_number": "989-894-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4497 SHEFFIELD PL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062554",
            "telephone_number": "989-894-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "KORRIE",
        "middle_name": "LOUISE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704297735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORRIE",
            "last_name": "HORNE",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.