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

Mr. Donovan Scott Willis, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1558460295

Mr. Donovan Scott Willis, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Joplin, Missouri. Qualified in 2004, 22 years ago. Practices with Northeastern Health System, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Missouri.

Years since qualifying
22
Licensed in
AR, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

100 Mercy Way
Joplin, MO 64804-4524
Phone: (417) 781-2727
Show map & directions

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

Additional practice locations (1)

  • 3002 Rogers Ave, Fort Smith, AR 72901-4232 — (479) 785-2555

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2015043775 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence C01497 (AR)

Record details

NPI number1558460295
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Northeastern Health System — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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