Katelyn Davis, in Warsaw, IN - Medicare Nurse Practitioner

Katelyn Davis, is a medicare enrolled "Nurse Practitioner" in Warsaw, Indiana. Her current practice location is 1355 Mariners Dr, Warsaw, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 372-1282.

Katelyn Davis is licensed to practice in Indiana (license number 71016624A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518766294.

Contact Information

	Katelyn Davis,
	1355 Mariners Dr, Warsaw, IN 46582-7145
	(574) 372-1282
	(574) 372-1275

Map and Direction

Provider's Profile

Full Name	Katelyn Davis
Gender	Female
Speciality	Nurse Practitioner
Location	1355 Mariners Dr, Warsaw, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518766294
Provider Enumeration Date: 03/13/2025
Last Update Date: 09/02/2025

Medicare PECOS Information:

PECOS PAC ID: 4880104561
Enrollment ID: I20250611002154

Medical Identifiers

Medical identifiers for Katelyn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518766294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WW0101X	Registered Nurse - Women's Health Care, Ambulatory	28274530A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71016624A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn Davis allows following entities to bill medicare on her behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katelyn Davis, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Katelyn Davis, 1355 Mariners Dr, Warsaw, IN 46582-7145 Ph: (574) 372-1282

Reviews and Comments

Nurse Practitioner Nurses in Warsaw, IN

Sara M. Vanlaningham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554
Dr. Amy Deion Stitt, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 765-425-5576
Alissa Whittaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-371-9550 Fax: 574-376-4793
Tara Janae Little, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-269-8383 Fax: 260-479-2911
Mrs. Candace G Lemke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-1700
Kayla R Cottrill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134
Anita Lynn Alcorn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-372-7637

Katelyn Davis, - Medicare Nurse Practitioner in Warsaw, IN