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Active NPI 1710127626 Individual Practitioner Female Practitioner

Mary E Willis , RD, LD, CDE

Dietitian, Registered • Stanley, KS

Professional Overview & Biography Verified Profile Summary

Mary Willis, RD, LD, CDE is a certified Dietitian, Registered practicing in Stanley, KS. With approximately 41 years of clinical experience since completing medical education in 1985, Mary Willis delivers high-quality medical care to the local community at 15101 GLENWOOD AVE.

Mary Willis does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure reassessment for nutrition management, each, medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15101 Glenwood Ave

Stanley, KS 662233154

Telephone 9136818866
Fax 9133381311
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Stanley, KS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +18.0 yrs vs City Avg
City Avg: 23.0 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Stanley, KS (577 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willis (41 Years) 41 Yrs
Stanley Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
119 23 $64.03 $24.83
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
46 12 $83.35 $28.56

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Teresa Rose , RPT

Physical Therapist

NPI 1023005345

Registered Physical Therapist

NPI 1033157086

Doctor of Medicine (M.D.)

NPI 1033352737

Doctor of Medicine (M.D.)

NPI 1043207426

Doctor of Medicine (M.D.)

Sofia Bacon , PT

Physical Therapist

NPI 1073057063

Physical Therapist

Melanie Hijaz , ARNP

Nurse Practitioner

NPI 1083807853

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2013

Registered at 15101 GLENWOOD AVE, STANLEY, KS 662233154 (Tel: 9136818866)

📍
Updated Business Mailing Address January 08, 2013

Registered at PO BOX 741331, ATLANTA, GA 303741331 (Tel: 9134690503)

👤
Provider Name / Credentials Updated January 08, 2013

Recorded as MARY WILLIS, R.D., L.D., C.D.E.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2013

Dietitian, Registered

🟢
Initial NPI Registration & Enumeration March 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710127626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2009
Last Update: January 08, 2013
Sole Proprietor: No

Mailing Address

Po Box 741331

Atlanta, GA 303741331

Phone: 9134690503

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.