Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis K Willmore

Individual provider Physician Assistant · NPI 1205454402

Alexis K Willmore is a Physician Assistant in Saint Joseph, Michigan. Qualified in 2020, 6 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone: (269) 983-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1015 Cambridge Dr, Kalamazoo, MI 49001-4414 — (269) 290-4331
  • 3950 Hollywood Rd Ste 280, Saint Joseph, MI 49085-9151 — (269) 982-5864

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601010094 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601010094 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1205454402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address1234 Napier Ave, Saint Joseph, MI 49085-2112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Saint Joseph