Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Nicholas Andrew Willis

Individual provider Registered Nurse · NPI 1609429125

Nicholas Andrew Willis is registered under Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Peacehealth, a 187-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2019
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Practice location Address checks out

3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Phone: (360) 431-4408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 201900742RN (OR)

Record details

NPI number1609429125
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESJuly 23, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients133
Services billed 165 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Peacehealth

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 187 clinicians in the practice; 12 are shown here.

Other providers in Portland