Nicholas Willis, MD
Nicholas Willis is a Cardiovascular Disease Physician provider (Internal Medicine) practicing in Pine Bluff, AR, registered in the NPPES registry with NPI 1629292883 since 2007. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629292883 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Nicholas Willis |
| Credential | MD |
| Sex | Male |
| Practice address | 1601 W 40TH AVE, SUITE 301, Pine Bluff, AR, 71603 |
| Phone | 8705414285 |
| Fax | 8705414297 |
| Enumeration date | 2007-04-12 |
| Last updated in NPPES | 2020-10-19 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RC0000X | Cardiovascular Disease Physician | Primary | E5292 | AR |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168857001 | Medicaid | AR | — |
Copy-ready billing details
Provider: Nicholas Willis, MD NPI: 1629292883 Taxonomy: 207RC0000X (Cardiovascular Disease Physician) Address: 1601 W 40TH AVE, SUITE 301, Pine Bluff, AR, 71603
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629078266 | James Campbell | Individual | Pulmonary Disease Physician | Pine Bluff, AR |
| 1295799443 | Ayman Alshami | Individual | Specialist | Pine Bluff, AR |
| 1932157674 | Jefferson Hospital Association, Inc | Organization | Pulmonary Disease Physician | Pine Bluff, AR |
| 1831144120 | University of Arkansas for Medical Sciences | Organization | Family Medicine Physician | Pine Bluff, AR |
| 1164463253 | Jefferson Heart, P.A. | Organization | Specialist | Pine Bluff, AR |
| 1598771677 | Steven Wright | Individual | Internal Medicine Physician | Pine Bluff, AR |
| 1992994396 | Ricki Fram | Individual | Cardiovascular Disease Physician | Pine Bluff, AR |
| 1083920086 | Pavana Naga Tirumanisetti | Individual | Family Medicine Physician | Pine Bluff, AR |
Verify this record
Cross-check NPI 1629292883 against the authoritative CMS record: view Nicholas Willis on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-19.