Look up the most recent NPI and PECOS records

Jerica Lynn Wills

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

207 W Gore St Ste 200, Orlando, FL 32806-1014

PECOS Enrollment

This provider is enrolled in PECOS as JERICA WILLS.

Based on the most recent information from CMS, provider Jerica Lynn Wills is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1477009421
Provider Type
Individual
Full Name
Wills, Jerica Lynn
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/30/2016
Last Updated
12/30/2025

Contact Information

Practice Location

207 W Gore St Ste 200, Orlando, FL 32806-1014

(407) 537-2250

Unlisted Fax

Mailing Location

207 W Gore St Ste 200, Orlando, FL 32806-1014

(814) 505-3339

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP016347 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 551954RN0	Description Medicaid	Issuer Unlisted Pennsylvania

Jerica Lynn Wills

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Poalillo, F Elizabeth

Williams, Caitlin C

Reparip, Christy Jo

Benyehuda, Michaelle

Majoy, Sarah Borsick

Perez, Romulo Barry

Lim, Jennifer

Francis, Shimoneh S

Persaud, Sasha

Huff, William