IndividualActive
Micah Willis, FNP
NPI 1659567832 · Family Nurse Practitioner · Wasilla, AK
Provider details
- NPI number
- 1659567832
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 104271 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
Street-level locationGet directions
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Additional practice locations (1)
- 1815 Old Ocilla RdTifton, GA 31794-1617Phone: (229) 391-3535Fax: (229) 391-3529
Registry dates
- Enumerated
- 2007-09-20
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.