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

Dr. Kimberly Rachelle Willis, MD

Individual provider Family Medicine Physician · NPI 1487852562

Dr. Kimberly Rachelle Willis, MD is a Family Practice in Pine Bluff, Arkansas. Graduated from University Central Del Caribe Escuela De Medicina in 2005, 21 years ago. Practices with Jefferson Hospital Association, Inc, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and North Carolina.

Years since qualifying
21
Trained at
University Central Del Caribe Escuela De Medicina
Licensed in
AR, NC
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1600 W 40th Ave
Pine Bluff, AR 71603-6301
Phone: (870) 541-8767
Fax: (870) 541-8761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2609 Medical Office Pl, Goldsboro, NC 27534-9428 — (919) 731-1779

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence E-5445 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence E-5445 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2009-01271 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence 2009-01271 (NC)

Record details

NPI number1487852562
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2007
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Graduated 2005 (21 years in practice)
Group practice Jefferson Hospital Association, Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pine Bluff