Dallin Douglas Willes
Nurse Practitioner - Neonatal β’ Provo, UT
1034 N 500 W
Provo, UT 846043380
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
1034 N 500 W
Provo, UT 846043380
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner - Neonatal: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Provo and Utah
10 active clinicians are listed under Nurse Practitioner - Neonatal with a practice address in Provo, UT (87 in Utah).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-04-12NUCC Taxonomy Code: 363LN0000X
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Clinical Nurse Specialist - Neonatal
Pediatrics - Neonatal-Perinatal Medicine
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577707)
Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128
NPI status registered as active in NPPES database
Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001 (Tel: 8015812747)
Registered at 50 N MEDICAL DR, SALT LAKE CITY, UT 841320001
Recorded as DALLIN WILLES
Nurse Practitioner (license number reported to NPPES: UT 8281533-4405)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 27128
Salt Lake City, UT 841270128