Mrs Katilyn Marie Davis, CNP in Crystal, MN - Medicare Nurse Practitioner

Mrs Katilyn Marie Davis, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Crystal, Minnesota. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Consultative Health And Medicine Pa and her current practice location is 5200 Douglas Dr N, Crystal, Minnesota. You can reach out to her office (for appointments etc.) via phone at (888) 290-1209.

Mrs Katilyn Marie Davis is licensed to practice in Minnesota (license number R188521-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043395361.

Contact Information

	Mrs Katilyn Marie Davis, CNP
	5200 Douglas Dr N, Crystal, MN 55429-3104
	(888) 290-1209
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Katilyn Marie Davis
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	5200 Douglas Dr N, Crystal, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Katilyn Marie Davis graduated from nursing school in 2014

NPI Data:

NPI Number: 1043395361
Provider Enumeration Date: 10/26/2006
Last Update Date: 01/09/2026

Medicare PECOS Information:

PECOS PAC ID: 4082831136
Enrollment ID: I20140813001041

Medical Identifiers

Medical identifiers for Mrs Katilyn Marie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043395361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R188521-1 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairview Home Care And Hospice	Minneapolis, MN	Home health agency
Recover Health	Minnetonka, MN	Home health agency
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospice
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital
University Of Minnesota Medical Center, Fairview	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Consultative Health And Medicine Pa	6305024373	12

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. Mrs Katilyn Marie Davis allows following entities to bill medicare on her behalf.

Entity Name	Consultative Health And Medicine Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710281647 PECOS PAC ID: 6305024373 Enrollment ID: O20110621000580

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. Mrs Katilyn Marie 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
Mrs Katilyn Marie Davis, CNP 5200 Douglas Dr N, Crystal, MN 55429-3104 Ph: (888) 290-1209	Mrs Katilyn Marie Davis, CNP 5200 Douglas Dr N, Crystal, MN 55429-3104 Ph: (888) 290-1209

Reviews and Comments

Nurse Practitioner Nurses in Crystal, MN

Sarah Mary Johnson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Jessica Lynn Rusciano, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7999
Jennifer Nelson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Julitta Adu-gyamfi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6014 Lakeland Ave N, Crystal, MN 55428 Phone: 612-871-2312
Helen O Osonowo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5724 Bass Lake Rd, Crystal, MN 55429 Phone: 763-561-3434 Fax: 612-314-8840
Jill Titze, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183

Mrs Katilyn Marie Davis, CNP - Medicare Nurse Practitioner in Crystal, MN