Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922333772 Individual Practitioner Male Practitioner

Dr. Willard Randolph Vannostrand , MD

General Practice • Green Valley, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Willard Vannostrand, MD is a registered healthcare professional specializing in General Practice in Green Valley, AZ. Practice services are available at 1260 S CAMPBELL AVE BLDG 2 under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1260 S Campbell Ave Bldg 2

Green Valley, AZ 856140502

Telephone 5204075400
Fax 5204075990
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Green Valley, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Green Valley, AZ (259 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
71 70 $1119.00 $115.78
99283 Emergency department visit with low level of medical decision making
31 31 $590.00 $60.67
99285 Emergency department visit for life threatening or functioning severity
27 27 $1647.00 $170.16
99291 Critical care, first 30-74 minutes
12 12 $2115.00 $219.24

Medical Specialties & State Licenses

CMS Verified: 2022-06-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License AZ 7028

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Billing No.
01WCFBXA1 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1023247509

Doctor of Osteopathic Medicine (D.O.)

Barbara Hanisch-Lucas , MSN, FNP

Nurse Practitioner - Family

NPI 1023361599

Master of Science in Nursing, Family Nurse Practitioner

Lynn Murphy , NURSE PRACTITIONER

Nurse Practitioner - Pediatrics

NPI 1114907987

NURSEPRACTITIONER

Kirsten Rentfrow , FNP

Nurse Practitioner - Pediatrics

NPI 1134523624

Family Nurse Practitioner

NPI 1134960289

Doctor of Dental Medicine

Dr. Amy Rosenberg , MD

Family Medicine

NPI 1144314758

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 23, 2022

Registered at 1260 S CAMPBELL AVE BLDG 2, GREEN VALLEY, AZ 856140502 (Tel: 5204075400)

📍
Updated Business Mailing Address August 23, 2022

Registered at 1260 S CAMPBELL AVE BLDG 2, GREEN VALLEY, AZ 856140502 (Tel: 5204075600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2022

General Practice (License #7028 in AZ)

NPI Profile Active October 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2009

Registered at 901 W REX ALLEN DR, WILLCOX, AZ 856431009 (Tel: 5203843541)

📍
Updated Business Mailing Address October 13, 2009

Registered at 3737 E CALLE CORTEZ, TUCSON, AZ 857165119 (Tel: 5207957130)

👤
Provider Name / Credentials Updated October 13, 2009

Recorded as WILLARD VANNOSTRAND, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2009

Emergency Medicine (License #7028 in AZ)

🟢
Initial NPI Registration & Enumeration October 13, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Willard Vannostrand. Be the first to share your experience!

Sign in to leave a review for Dr. Willard Vannostrand

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1922333772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2009
Last Update: August 23, 2022
Sole Proprietor: Yes

Mailing Address

1260 S Campbell Ave Bldg 2

Green Valley, AZ 856140502

Phone: 5204075600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.