Kimberly Y Willis (NPI# 1164601514, PAC ID# 5193801793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164601514 |
| PAC ID by PECOS | 5193801793 |
| Professional Enrollment ID | I20080324000373 |
| Full Name | Kimberly Y Willis |
| Organization Legal Name | NORTHEAST MEDICAL PRACTICE INC |
| Address |
480 Maple St Danvers MA 01923-4065 |
| Phone Number | 9783048451 |
| Gender | F |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365405024 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220033 | NORTHEST HOSPITAL CORPORATION |
| 220171 | LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 480 Maple St, Danvers, MA 01923-4065 | 9783048451 | NORTHEAST MEDICAL PRACTICE INC |
| Organization Legal Name | NORTHEAST MEDICAL PRACTICE INC |
| Physicians | 138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Humera Kausar | Infectious Disease | Northeast Medical Practice Inc | 85 Herrick St, Beverly, MA 01915-1790 |
| Margaret Legner | Internal Medicine | Northeast Medical Practice Inc | 5 Federal St, Suite 1, Danvers, MA 01923-3687 |
| Amanda E Davis | Certified Nurse Midwife (cnm) | Northeast Medical Practice Inc | 280 Union St, Lynn, MA 01901-1353 |
| Helene Hutchinson | Nurse Practitioner | Northeast Medical Practice Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Brenda Burke Elder | Clinical Social Worker | Northeast Medical Practice Inc | 60 Granite St, Lynn, MA 01904-2915 |
| Yuliya Mandel | Family Medicine | Northeast Medical Practice Inc | 298 Washington St, Gloucester, MA 01930-4832 |
| Vittorio J Raho | Emergency Medicine | Northeast Medical Practice Inc | Esdale Medical Group, 298 Washington Street, Gloucester, MA 01930-4832 |
| Julie E Connick | Nurse Practitioner | Northeast Medical Practice Inc | 298 Washington St, Gloucester, MA 01930-4832 |
| Edward Loughery | Interventional Cardiology | Northeast Medical Practice Inc | 298 Washington St, Fl 4, Gloucester, MA 01930-4832 |
| Pierre D Abou Ezzi | Internal Medicine | Northeast Medical Practice Inc | 298 Washington St, Gloucester, MA 01930-4832 |
| Street Address |
480 MAPLE ST |
| City | DANVERS |
| State | MA |
| Zip | 01923-4065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helene Hutchinson | Nurse Practitioner | Northeast Medical Practice Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Meghan Chase | Nurse Practitioner | Pain Modulation Associates Pllc | 480 Maple St, Danvers, MA 01923-4065 |
| Timothy E Frey | Interventional Radiology | Beverly Radiology Associates, Inc. | 480 Maple St, Danvers, MA 01923-4065 |
| Miguel A Martinez | Emergency Medicine | Lahey Physician Community Organization I Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Robert D Tufts | Internal Medicine | 480 Maple St, Danvers, MA 01923-4065 | |
| Christie A Ellis | Certified Registered Nurse Anesthetist (crna) | Beverly Anesthesia Associates, Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Melanie L Shaw | Nurse Practitioner | Lahey Physician Community Organization I Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Sanjeev Wadhwa | Certified Registered Nurse Anesthetist (crna) | Beverly Anesthesia Associates, Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Galina Feldman | Family Medicine | Northeast Medical Practice Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Kim G Graham | Nurse Practitioner | Northeast Medical Practice Inc | 480 Maple St, Danvers, MA 01923-4065 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Nolan | Chiropractic | William R Nolan Jr Dc, 15 Cherry Street, Danvers, MA 01923 | |
| Anastasiya V Ruskevich | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 311 Newbury St, Danvers, MA 01923-1027 |
| Karleny P Foley | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 311 Newbury St, Danvers, MA 01923-1027 |
| Rachel R Green | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 311 Newbury St, Danvers, MA 01923-1027 |
| Monica W Wisco | Clinical Social Worker | 435 Newbury St, Suite 210, Danvers, MA 01923-1065 | |
| Danielle Zabel | Psychologist, Clinical | 435 Newbury St, Suite 220, Danvers, MA 01923-1065 | |
| Robin L Dunlea | Clinical Social Worker | 435 Newbury St, Suite 210, Danvers, MA 01923-1065 | |
| Courtney J Conroy | Clinical Social Worker | 435 Newbury St, Suite 210, Danvers, MA 01923-1065 | |
| Richard M Aberman | Clinical Social Worker | 435 Newbury St, Suite 220, Danvers, MA 01923-1065 | |
| Leslie A Toner | Clinical Social Worker | 435 Newbury St, Suite 220, Danvers, MA 01923-1065 | |
| Find all physicians in zip 01923 | |||
| City | DANVERS |
| Zip Code | 01923 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DANVERS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Y Willis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.