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

Individual provider Family Nurse Practitioner · NPI 1659567832

Mr. Micah A Willis, FNP is a Nurse Practitioner in Wasilla, Alaska. Qualified in 2007, 19 years ago. Practices with Southcentral Foundation, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
19
Licensed in
AK
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1815 Old Ocilla Rd, Tifton, GA 31794-1617 — (229) 391-3535

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 104271 (AK)

Record details

NPI number1659567832
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Southcentral Foundation — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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