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

Nicholas Andrew Willis

Individual provider Registered Nurse · NPI 1609429125

Nicholas Andrew Willis is a 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

Practice location Address checks out

3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Phone: (360) 431-4408
Show map & directions

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

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