Willow Medical LLC
NPI 1417640582 · Family Medicine Physician · Owasso, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Willow Medical LLC is a Family Medicine Physician organization in Owasso, OK (NPI 1417640582).
Provider details
- NPI number
- 1417640582
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paula Moorman, Aprn, Fnp-C(539) 208-5069
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Frequently asked questions
- What is Willow Medical LLC's NPI number?
- Willow Medical LLC's National Provider Identifier (NPI) is 1417640582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Medical LLC?
- Willow Medical LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Willow Medical LLC located?
- Willow Medical LLC's practice location on file with NPPES is 12806 E 86th Pl N Ste a, Owasso, OK 74055-2688.
- What is Willow Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Willow Medical LLC is (539) 208-5069.
- Does Willow Medical LLC accept Medicare?
- Willow Medical LLC 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 Willow Medical LLC?
- The authorized official listed on Willow Medical LLC's NPPES record is Paula Moorman, Aprn, Fnp-C. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Medical LLC's NPI active?
- Yes — Willow Medical LLC's NPI (1417640582) is active in the NPPES registry as of the last update on 2024-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.