Kelley Anne Davidson, APRN - Medicare Nurse Practitioner in Henryetta, OK

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Kelley Anne Davidson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Henryetta, Oklahoma. Her current practice location is 401 W Main St, Henryetta, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (539) 667-0001.

Kelley Anne Davidson is licensed to practice in Oklahoma (license number 1234) 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 1164283578.

Contact Information

Kelley Anne Davidson, APRN
401 W Main St,
Henryetta, OK 74437-4241
(539) 667-0001
Not Available

Map and Direction




Provider's Profile

Full NameKelley Anne Davidson
GenderFemale
SpecialityNurse Practitioner - Family
Location401 W Main St, Henryetta, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164283578
  • Provider Enumeration Date: 01/22/2024
  • Last Update Date: 10/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254878523
  • Enrollment ID: I20240805000846

Medical Identifiers

Medical identifiers for Kelley Anne Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164283578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1234 (Oklahoma)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. Kelley Anne Davidson allows following entities to bill medicare on her behalf.
Entity NameTulsa Emergency Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063479087
PECOS PAC ID: 3375442692
Enrollment ID: O20040106000606
Entity NameMedical Resource Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104056365
PECOS PAC ID: 4082753918
Enrollment ID: O20100830000840
Entity NameMedwise Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629604434
PECOS PAC ID: 8820410970
Enrollment ID: O20200619000314

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. Kelley Anne Davidson 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 AddressPractice Location Address
Kelley Anne Davidson, APRN
401 W Main St,
Henryetta, OK 74437-4241

Ph: () -		Kelley Anne Davidson, APRN
401 W Main St,
Henryetta, OK 74437-4241

Ph: (539) 667-0001

Reviews and Comments


Nurse Practitioner Nurses in Henryetta, OK

Tamara Suzanne Sadler, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 E Shurden Industrial Blvd, Henryetta, OK 74437
Phone: 918-652-9614    
Mrs. Savannah Lyn Winfield, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 114 S 4th St, Henryetta, OK 74437
Phone: 918-652-3919    
Mrs. Rebecca Kaye Haynes, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104 E Shurden Industrial Blvd, Henryetta, OK 74437
Phone: 918-652-9614    
Mrs. Michele Diane Crawley, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2401 W Main St, Henryetta, OK 74437
Phone: 918-652-9650    Fax: 918-652-7827
Leslie K Hughes, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 E Shurden Industrial Blvd, Henryetta, OK 74437
Phone: 918-652-9614    Fax: 918-652-4831
Brawna Chowins, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104 E Shurden Industrial Blvd, Henryetta, OK 74437
Phone: 918-652-9614    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.