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

Madelyn Willis

Individual provider Physician Assistant · NPI 1942929666

Madelyn Willis is a Physician Assistant in Cleburne, Texas. Qualified in 2024, 2 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2022

Practice location Address checks out

2010 W Katherine P Raines Rd Ste 300
Cleburne, TX 76033-7447
Phone: (432) 620-1120
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18349 (TX)

Record details

NPI number1942929666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 25, 2022
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address412 Lair Ln, Canyon, TX 79015-4222

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Oliver Street 5.01(A) Inc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Cleburne