TANYA RENEE WILLIS
NPI 1891345070
Registered Nurse - General Practice in Apple Valley, CA
NPI Status: Active since September 19, 2019
Contact Information
19166 LA QUINTA PL
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 887-0477
- Individual
- Female
- Years of Experience 7
- Registered Nurse
- General Practice
- Accepts Medicare Approved Payment
- PECOS Enrolled
About TANYA WILLIS
This page provides the complete NPI Profile along with additional information for Tanya Willis, a provider established in Apple Valley, California with a medical specialization in Registered Nurse, focusing in general practice and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1891345070 assigned on September 2019. The practitioner's primary taxonomy code is 163WG0000X with license number 802219 (CA). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1891345070
- Provider Name
- TANYA RENEE WILLIS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 19166 LA QUINTA PL APPLE VALLEY, CA 92308
- Location Phone
- (760) 887-0477
- Mailing Address
- 19166 LA QUINTA PL APPLE VALLEY, CA 92308
- Mailing Phone
- (760) 887-0477
- Medical School Name
- OTHER
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2019
- Last Update Date
- 06-27-2025
- Code Navigator
A registered nurse (RN) like Tanya Willis coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Registered Nurse General Practice
- Taxonomy Code
- 163WG0000X
- Type
- Nursing Service Providers
- License No.
- 802219
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Tanya Willis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Tanya Willis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2062935299
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250328001619
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 9 | 1 | 3 | 4 | 5 | 0 | 7 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 18 | 1 | 6 | 4 | 10 | 0 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 8 + 1 + 6 + 4 + 1 + 0 + 0 + 1 + 4 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1891345070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891345070, enumerated in the NPI registry as an "individual" on September 19, 2019
The provider is located at 19166 La Quinta Pl Apple Valley, Ca 92308 and the phone number is (760) 887-0477
The provider's speciality is Registered Nurse with taxonomy code 163WG0000X with a focus in General Practice
The provider has more than 7 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on September 19, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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