Elizabeth Adrienne Willis, RN, MS, PMHNP-BC - Medicare Nurse Practitioner in Cloverdale, CA

Elizabeth Adrienne Willis, RN, MS, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cloverdale, California. Her current practice location is 6 Tarman Dr, Cloverdale, California. You can reach out to her office (for appointments etc.) via phone at (707) 894-4229.

Elizabeth Adrienne Willis is licensed to practice in California (license number 95017303) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104536549.

Contact Information

Elizabeth Adrienne Willis, RN, MS, PMHNP-BC
6 Tarman Dr,
Cloverdale, CA 95425-3932
(707) 894-4229
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Adrienne Willis
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6 Tarman Dr, Cloverdale, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104536549
  • Provider Enumeration Date: 11/28/2022
  • Last Update Date: 11/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022483643
  • Enrollment ID: I20230413001732

Medical Identifiers

Medical identifiers for Elizabeth Adrienne Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104536549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 793320 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95017303 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elizabeth Adrienne Willis allows following entities to bill medicare on her behalf.
Entity NameAlliance Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750399796
PECOS PAC ID: 3779471446
Enrollment ID: O20130128000264

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Adrienne Willis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Adrienne Willis, RN, MS, PMHNP-BC
Po Box 253,
Sebastopol, CA 95473-0253

Ph: (707) 921-9393
Elizabeth Adrienne Willis, RN, MS, PMHNP-BC
6 Tarman Dr,
Cloverdale, CA 95425-3932

Ph: (707) 894-4229

Reviews and Comments


Nurse Practitioner Nurses in Cloverdale, CA

Ms. Marya E Grosse, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6 Tarman Dr, Cloverdale, CA 95425
Phone: 707-894-4229    Fax: 707-894-2954
Cheri Lynn Heffel, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 240 N Cloverdale Blvd, Copper Towers Family Medical Center, Cloverdale, CA 95425
Phone: 707-894-4229    Fax: 707-894-1063
Mahreen Jaffri, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6 Tarman Dr, Cloverdale, CA 95425
Phone: 716-507-6893    
Emilee Person, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6 Tarman Dr, Cloverdale, CA 95425
Phone: 707-894-4229    
Elizabeth Pile, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6 Tarman Dr, Cloverdale, CA 95425
Phone: 707-894-4229    Fax: 707-894-2954
Nathalie Pena,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6 Tarman Dr, Cloverdale, CA 95425
Phone: 707-894-4229    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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