Katelyn Willis
NPI 1003613316 · Family Nurse Practitioner · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katelyn Willis is a Family Nurse Practitioner provider in Idaho Falls, ID (NPI 1003613316).
Provider details
- NPI number
- 1003613316
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4071550 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-26
- Last updated
- 2025-02-26
- Certified
- 2025-01-30
Frequently asked questions
- What is Katelyn Willis's NPI number?
- Katelyn Willis's National Provider Identifier (NPI) is 1003613316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katelyn Willis's specialty?
- Katelyn Willis is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katelyn Willis located?
- Katelyn Willis's practice location on file with NPPES is 3230 Nina Dr, Idaho Falls, ID 83404-7428.
- What is Katelyn Willis's phone number?
- The practice phone number listed in the NPPES registry for Katelyn Willis is (208) 243-6077.
- Does Katelyn Willis accept Medicare?
- Katelyn Willis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katelyn Willis's NPI active?
- Yes — Katelyn Willis's NPI (1003613316) is active in the NPPES registry as of the last update on 2025-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.