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Active NPI 1487405452 Individual Practitioner Female Practitioner

Pebbles P Willis , PSS

Peer Specialist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Pebbles Willis, PSS is a registered healthcare professional specializing in Peer Specialist in Boise, ID. Practice services are available at 8050 W RIFLEMAN ST STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8050 W Rifleman St Ste 200

Boise, ID 837049006

Telephone 8775221275
Fax 5094913031
Associated Practice Facility / Clinic
🏢 Ideal Option, Pllc Facility NPI 1457788275

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
96 Specialists

Practicing in Boise, ID (223 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: 2024-03-28
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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

40 Associated Practitioners
Kelly Donlin , ARNP

Nurse Practitioner - Family

NPI 1013639145

Advanced Registered Nurse Practitioner

NPI 1023378882

Physician Assistant (Certified), Doctor of Philosophy (Ph.D.), Registered Dental Hygienist

Sarah Pedersen

Physician Assistant

NPI 1023494226
Shawnda Jennings , PSS

Peer Specialist

NPI 1023874617
Michelle Meako , ARNP

Nurse Practitioner

NPI 1043545254

Advanced Registered Nurse Practitioner

Ty Bradford , PA-C

Physician Assistant

NPI 1053075077

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2024

Registered at 8050 W RIFLEMAN ST STE 200, BOISE, ID 837049006 (Tel: 8775221275)

📍
Updated Business Mailing Address March 28, 2024

Registered at 5615 DUNBARTON AVE, PASCO, WA 993018216 (Tel: 8775221275)

👤
Provider Name / Credentials Updated March 28, 2024

Recorded as PEBBLES WILLIS, PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration March 28, 2024

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: 1487405452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2024
Last Update: March 28, 2024
Sole Proprietor: No

Mailing Address

5615 Dunbarton Ave

Pasco, WA 993018216

Phone: 8775221275

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.