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Provider Profile

Willie Sly, PMHNP-BC

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At a glance

About Willie Sly

Willie Sly, PMHNP-BC is a nurse practitioner — psychiatric/mental health based in Santa Rosa, CA. The provider's National Provider Identifier (NPI) is 1053166199.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2025

Credentials & Licensing

CA licenceAs reported to the NPI registry
No. 95038910As reported
ID licenceAs reported to the NPI registry
No. 5971891As reported
NPINational Provider Identifier
1053166199Issued 2024

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Willie Sly?

Willie Sly is a nurse practitioner in Santa Rosa, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

What is Willie Sly's address?

Willie Sly is listed at 2448 Guerneville Rd Ste 800, Santa Rosa, CA 95403. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Willie Sly?

The number on file is (707) 772-7522. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Willie Sly?

Willie Sly's National Provider Identifier is 1053166199. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Willie Sly train?

Willie Sly attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Willie Sly have?

Willie Sly has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Is Willie Sly's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Willie Sly. If this is you, claiming it is free.

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