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

Mr. Willis Smith, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861882847

Mr. Willis Smith, APRN is a Nurse Practitioner in Santa Rosa, California. Graduated from Vanderbilt University School of Medicine in 2020, 6 years ago. Practices with Alliance Medical Center, a 43-clinician group and accepts Medicare assignment. Licensed in Arkansas, California and Tennessee.

Years since qualifying
6
Trained at
Vanderbilt University School of Medicine
Licensed in
AR, CA, TN
In the registry since
2015
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

751 Lombardi Ct
Santa Rosa, CA 95407-6798
Phone: (707) 303-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95017534 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 28278 (TN)
Professional Counselor Taxonomy 101YP2500X · Licence P1701203 (AR)

Record details

NPI number1861882847
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 29, 2015
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Alliance Medical Center — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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