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Active NPI 1104307198 Individual Practitioner Male Practitioner

Dallin Douglas Willes

Nurse Practitioner - Neonatal • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dallin Willes is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Provo, UT. Practice services are available at 1034 N 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013577707
Associated Practice Facility / Clinic
🏢 Ihc Health Services, Inc Facility NPI 1235189002

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Provo, UT (88 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: 2022-04-12
Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License UT 8281533-4405

Definition to come...

Practice Associates & Co-Workers

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

28 Associated Practitioners
Miriam Bastian , APRN

Nurse Practitioner - Neonatal

NPI 1043492838

Advanced Practice Registered Nurse

Jennifer Bautista , APRN

Nurse Practitioner

NPI 1043495807

Advanced Practice Registered Nurse

Dr. Leslie Lang , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1104839208

Doctor of Medicine (M.D.)

Jennifer Jorgenson , APRN

Nurse Practitioner - Neonatal

NPI 1174792352

Advanced Practice Registered Nurse

Daina Swamy , RN, NP

Nurse Practitioner

NPI 1225991078

Registered Nurse, Nurse Practitioner

Dr. Kenneth Richardson , MD, PhD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1265571269

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 12, 2022

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577707)

📍
Updated Business Mailing Address April 12, 2022

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

NPI Profile Active August 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2018

Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001 (Tel: 8015812747)

📍
Updated Business Mailing Address August 27, 2018

Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001

👤
Provider Name / Credentials Updated August 27, 2018

Recorded as DALLIN WILLES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2018

Nurse Practitioner (License #8281533-4405 in UT)

🟢
Initial NPI Registration & Enumeration August 27, 2018

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: 1104307198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2018
Last Update: April 12, 2022
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.