Paul Dana Willms, FNP-C

Individual provider Military Health Care Provider · NPI 1629602081

Paul Dana Willms, FNP-C is a Nurse Practitioner in Port Jefferson, New York. Qualified in 2019, 7 years ago. Practices with True North Medical Group PC, a 186-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying: 7
Licensed in: NY
In the registry since: 2020
Specialties on file: 3

What do these letters mean?

FNP-C — Family Nurse Practitioner, Certified: A family nurse practitioner certified by the AANP.

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Practice location Address checks out

635 Belle Terre Rd
Port Jefferson, NY 11777-1935
Phone: (631) 320-7503

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

Additional practice locations (6)

1862 Pleasantville Rd, Briarcliff Manor, NY 10510-1025 — (845) 204-9260
999 Route 6 Ste 1n, Mahopac, NY 10541-1716 — (845) 204-9260
26 Winslow Gate Rd Bldg C2, Poughkeepsie, NY 12601-1467 — (845) 204-9260
696 Dutchess Tpke, Poughkeepsie, NY 12603-6444 — (845) 204-9260
645 Marble Ave, Thornwood, NY 10594-1062 — (845) 204-9260
900 Route 376 Ste H, Wappingers Falls, NY 12590-6496 — (845) 204-9260

Specialties & licences

Family Nurse Practitioner (primary)	Taxonomy 363LF0000X · Licence F344523 (NY)
Military Health Care Provider	Taxonomy 171000000X · Licence F344523 (NY)
Primary Care Nurse Practitioner	Taxonomy 363LP2300X · Licence F344523 (NY)

Record details

NPI number	1629602081
Entity type	Individual (Type 1)
Gender	Male
Credentials	FNP-C
Sole proprietor	No
NPI enumerated	February 25, 2020
Last updated in NPPES	November 19, 2024
Certification date	November 19, 2024

Medicare enrollment

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

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2019 (7 years in practice)
Group practice	True North Medical Group Pc — 186 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Telehealth	Offers telehealth services