Willis Clinic
NPI 1063619567 · Primary Care Clinic/Center · Osceola, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Willis Clinic is a Primary Care Clinic/Center organization in Osceola, AR (NPI 1063619567).
Provider details
- NPI number
- 1063619567
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Willis, Coo/Practice Manager(870) 563-2545
- License
- E5031 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
Other names (DBA / former)
- Doing business as
- Willis Clinic PLLC
Registry dates
- Enumerated
- 2007-06-28
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Frequently asked questions
- What is Willis Clinic's NPI number?
- Willis Clinic's National Provider Identifier (NPI) is 1063619567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willis Clinic?
- Willis Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Willis Clinic located?
- Willis Clinic's practice location on file with NPPES is 616 W Lee Ave, Osceola, AR 72370-3002.
- What is Willis Clinic's phone number?
- The practice phone number listed in the NPPES registry for Willis Clinic is (870) 563-2545.
- Does Willis Clinic accept Medicare?
- Willis Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Willis Clinic?
- The authorized official listed on Willis Clinic's NPPES record is Timothy Willis, Coo/Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willis Clinic's NPI active?
- Yes — Willis Clinic's NPI (1063619567) is active in the NPPES registry as of the last update on 2021-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.