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Jennifer Michelle Willis, MD

NPI 1063675106ActiveIndividual· Pediatrics, Pediatric Nephrology· Orlando, FL

Pediatrics, Pediatric Nephrology (MD) with Florida Hospital Medical Group Inc, practicing in Orlando, Florida. Enrolled in Medicare as practitioner - pediatric medicine. Lists Adventhealth Orlando as a hospital affiliation.

Overview

NPI1063675106
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJul 9, 2008
Last updated in NPPESSep 13, 2024
Certified by providerSep 13, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics, Pediatric Nephrology Primary2080P0210XME141361FL
Pediatrics208000000XME141361FL
Pediatrics, Pediatric Nephrology2080P0210XQ2152TX
Pediatrics, Pediatric Nephrology2080P0210X036 121316IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (FL)

Medicare sources and data years

Education and affiliations

Graduation year2005
Medicare specialtyPediatric Medicine

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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