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

Kristin Nicole Willis, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1538706619

Kristin Nicole Willis, FNP-BC is a Nurse Practitioner in Olympia, Washington. Qualified in 2019, 7 years ago. Practices with Providence Health and Services Washington, a 480-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1620 Cooper Point Rd SW
Olympia, WA 98502-5736
Phone: (360) 486-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP144282 (TX)

Record details

NPI number1538706619
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedDecember 8, 2019
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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