IndividualActive
Brian Willis, AGPCNP-BC
NPI 1841007127 · Primary Care Nurse Practitioner · Palm Springs, CA
Provider details
- NPI number
- 1841007127
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 95032580 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(55/100 index)
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
555 E Tachevah Dr Ste 2w101
Palm Springs, CA 92262-5748
Phone: (760) 320-6005
Fax: (760) 323-5786
Street-level locationGet directions
Mailing address
5920 Brassie Pl
Palm Springs, CA 92264-6339
Registry dates
- Enumerated
- 2024-12-11
- Last updated
- 2025-01-20
- Certified
- 2025-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.