Individual Healthcare Provider
Jennifer Michelle Willis, MD
Provider's NPPES record last updated: September 13, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063675106
- Primary Specialty
- Pediatrics — Pediatric Nephrology
- Practice Location
- Orlando, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:07 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pediatrics
Pediatric Nephrology
Allopathic & Osteopathic Physicians
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Taxonomy code 2080P0210X Pediatrics
Allopathic & Osteopathic Physicians
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Taxonomy code 208000000X
Provider-Reported License Information
- Pediatrics (Florida)
- ME141361
- Pediatrics (Florida)
- ME141361
- Pediatrics (Texas)
- Q2152
- Pediatrics (Illinois)
- 036 121316
Practice Locations
Practice Location
615 E Princeton St Ste 401
Orlando, Florida 32803-1469
Phone: (407) 303-9311
Record Information
- Enumeration Date
- July 9, 2008
- Provider's NPPES Record Last Updated
- September 13, 2024
- Certification Date
- September 13, 2024
- NPISignal NPPES Dataset
- August 2026
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