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

Dr. Tyler Willis, DNP, NP

Individual provider Nurse Practitioner · NPI 1689340515

Dr. Tyler Willis, DNP, NP is a Nurse Practitioner in Coupeville, Washington. Qualified in 2020, 6 years ago. Practices with South Sound Inpatient Physicians PLLC, a 427-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee and Washington.

Years since qualifying
6
Licensed in
TN, WA
In the registry since
2021
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

121 N Main St
Coupeville, WA 98239
Phone: (360) 678-5151
Show map & directions

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

Additional practice locations (1)

  • 130 W Ravine Rd, Kingsport, TN 37660-3837 — (423) 224-4000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP61540212 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61540212 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 29874 (TN)

Record details

NPI number1689340515
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , NP
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address4840 Davis Rd, Southaven, MS 38671-9635

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice South Sound Inpatient Physicians Pllc — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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