NPPES file of Aug 9, 2026

Jeramy C. Willis, KCSA

Surgical Physician Assistant · Bowling Green, KY

Jeramy C. Willis, KCSA is a surgical physician assistant with a practice address in Bowling Green, Kentucky, and NPI 1780867473, issued on Dec 17, 2007. Check the license (Kentucky SA164, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1780867473
Name
Jeramy C. Willis
Credential
KCSA
Primary taxonomy
Surgical Physician Assistant 363AS0400X
License number
SA164 KY
Self-reported in NPPES; status is on the state search
Practice location
1945 Scottsville RD, Bowling Green, KY 42104
Phone
(270) 781-4828
Enumerated
Dec 17, 2007
Record last updated
Dec 17, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(270) 781-4828
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest surgical physician assistant records → All 117 in Kentucky → Look up another NPI →

Also registered at 1945 Scottsville RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mary Caputo, CSASurgical Physician Assistant1386795425
  2. Megan CarrollSurgical Assistant1962936872
  3. Stephen Huntsman, P.T.Physical Therapist1376609065
  4. Stacy Kirby, KCSASurgical Assistant1417304304
  5. Carla Marsh, KCSASurgical Assistant1982176848
  6. Rachael Miller, P.T.Physical Therapist1063603165

Verify Jeramy C. Willis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
    Search for license SA164    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Kentucky license search

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Industry payments in 2024: $237.86

2 payments; by number, the most common kind was travel and lodging; the largest payer was Intuitive Surgical, Inc. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jeramy Willis$237.86
  2. Specialty average$703.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Jeramy C. Willis among 117 surgical physician assistant records in Kentucky

Jeramy C. Willis, KCSA is one of 117 surgical physician assistant records with a practice address in Kentucky. 53% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 39% of them.

  • NPI issued2007 · 39% of these records are older, 44% newer
  • In a Medicare fileYes · 53% of these records are
  • In the CMS Doctors and Clinicians fileNo · 44% of these records are
  • Record last updated2007 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgical Physician Assistant providers in Kentucky

There are 117 surgical physician assistant records in Kentucky.

All 117 in Kentucky → Every provider in Bowling Green → Surgical Physician Assistant nationwide →

The 8 surgical physician assistant records with the nearest ZIP codes

  1. Mary Caputo, CSABowling Green, KY 421041386795425
  2. Beverly Hatcher, RNFABowling Green, KY 421041629275011
  3. Rodney Henderson, RODNEY HENDERSONBowling Green, KY 421041518994094
  4. Troy Hyman, CST/CFABowling Green, KY 421041104841378
  5. Roy Tyler, CSABowling Green, KY 421041952337560
  6. Timothy Wheeler, KCSABowling Green, KY 421041386794956
  7. Ken Arthur, KCSABowling Green, KY 421011487984340
  8. Zuliang Feng, KCSABowling Green, KY 421011326198086

Common questions

What is Jeramy C. Willis, KCSA's NPI number?

Jeramy C. Willis, KCSA's National Provider Identifier (NPI) is 1780867473, issued on Dec 17, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Jeramy C. Willis, KCSA located?

The NPPES record lists a practice address at 1945 Scottsville RD, Bowling Green, KY, 42104. Phone: (270) 781-4828. Providers update this record themselves, so call before visiting.

How can I verify Jeramy C. Willis, KCSA's license?

NPPES lists Kentucky license number SA164, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.