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

Nicholas Willis, MD

Individual provider Cardiovascular Disease Physician · NPI 1629292883

Nicholas Willis, MD is an Interventional Cardiology in Pine Bluff, Arkansas. Graduated from University of Arkansas College of Medicine in 2005, 21 years ago. Practices with Jefferson Hospital Association, Inc, a 79-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
21
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1601 W 40th Ave Ste 301
Pine Bluff, AR 71603-6319
Phone: (870) 541-4285
Fax: (870) 541-4297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence E5292 (AR)

Record details

NPI number1629292883
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing address1601 W 40th Ave, Suite 301, Pine Bluff, AR 71603-6319

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Jefferson Hospital Association, Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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