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

MS. Terri Anne Willis, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1245477694

MS. Terri Anne Willis, NURSEPRACTITIONER is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2005, 21 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
21
Licensed in
MD, NY
In the registry since
2009
Specialties on file
2

Practice location Address checks out

9105 Franklin Square Dr
Baltimore, MD 21237-3930
Phone: (410) 574-1330
Fax: (410) 574-2691
Show map & directions

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

Additional practice locations (1)

  • 851 Manhattan Ave, Brooklyn, NY 11222-2539 — (718) 752-7280

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence R238735 (MD)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 304203 (NY)

Record details

NPI number1245477694
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 7, 2009
Last updated in NPPESJune 25, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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