Staci Willis, FNP
NPI 1417783325 · Nurse Practitioner · Ogden, UT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Staci Willis, FNP is a Nurse Practitioner provider in Ogden, UT (NPI 1417783325).
Provider details
- NPI number
- 1417783325
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 365799-4405 (UT)
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
- 2024-09-09
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Frequently asked questions
- What is Staci Willis's NPI number?
- Staci Willis's National Provider Identifier (NPI) is 1417783325, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Staci Willis's specialty?
- Staci Willis is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Staci Willis located?
- Staci Willis's practice location on file with NPPES is 4403 Harrison Blvd Ste 4410, Ogden, UT 84403-3323.
- What is Staci Willis's phone number?
- The practice phone number listed in the NPPES registry for Staci Willis is (801) 387-6850.
- Does Staci Willis accept Medicare?
- Staci Willis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Staci Willis's NPI active?
- Yes — Staci Willis's NPI (1417783325) is active in the NPPES registry as of the last update on 2026-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.