Active NPI 1386437655 Individual Practitioner Male Practitioner

Nathan L Willis , CPRS

Peer Specialist • Xenia, OH

Professional Overview & Biography Verified Profile Summary

Nathan Willis, CPRS is a registered healthcare professional specializing in Peer Specialist in Xenia, OH. Practice services are available at 2960 W ENON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2960 W Enon Rd

Xenia, OH 453858548

Telephone 9372724925

Associated Practice Facility / Clinic

🏢 Emerge Recovery And Trades Initiative Facility NPI 1205544426

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Xenia, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 6.5 Yrs

Regional Practice Density

40 Specialists

Practicing in Xenia, OH (3139 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-28

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.006272

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

25 Associated Practitioners

Brett Bodmer

Case Management

NPI 1134086044

Stephen Wilson , PRS

Peer Specialist

NPI 1205517174

Adam Gardner

Counselor - Addiction (Substance Use Disorder)

NPI 1285502732

Kenton Durham

Counselor

NPI 1326755729

Shawn Cline

Peer Specialist

NPI 1396439295

Derrick Bramble

Peer Specialist

NPI 1417841404

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 28, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location May 28, 2025

Registered at 2960 W ENON RD, XENIA, OH 453858548 (Tel: 9372724925)

📍

Updated Business Mailing Address May 28, 2025

Registered at 130 W 2ND ST, XENIA, OH 453853526 (Tel: 9373056185)

👤

Provider Name / Credentials Updated May 28, 2025

Recorded as NATHAN WILLIS, CPRS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2025

Peer Specialist (License #APS.006272 in OH)

🟢

Initial NPI Registration & Enumeration May 28, 2025

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 Nathan Willis. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1386437655

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 28, 2025

Last Update: May 28, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

130 W 2nd St

Xenia, OH 453853526

Phone: 9373056185

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.