NPI age
20 years
Enumerated 2005-07-14
● Active
Type 1 · Individual
Susan M. Willis, CRNA
Willis is 1 of 52 nurse anesthetist, certified registered providers in Arlington and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
7205 Lake Mead Blvd
Arlington, TX 760164137
Mailing address
Po Box 840853 Ste 600
Dallas, TX 752844823
Additional practice locations
1 secondary location on file with NPPES.
Location 2
6606 Lyndon B Johnson Fwy Ste 200
Dallas, TX 752406524
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 126080404 | |
| 01 (TX) | 89479C | BLUE CROSS BLUE SHIELD |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.