Ms Nicole M Davis, FNP-BC - Medicare Nurse Practitioner in Phoenix, AZ

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Ms Nicole M Davis, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alliance Wound Care Services Llc, Nm Pacs 2 Llc, Arizona Post-acute Medical Services 1 Pc, Ives De Chazal, Md, Pllc, District Medical Group Inc, Maricopa Pulmonary Consultants Llc and her current practice location is 9200 N Central Ave Ste 2, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 999-4954.

Ms Nicole M Davis is licensed to practice in Arizona (license number 226470) 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 1710489034.

Contact Information

Ms Nicole M Davis, FNP-BC
9200 N Central Ave Ste 2,
Phoenix, AZ 85020-2463
(480) 999-4954
(480) 999-4712

Map and Direction




Provider's Profile

Full NameMs Nicole M Davis
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location9200 N Central Ave Ste 2, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Nicole M Davis graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1710489034
  • Provider Enumeration Date: 03/02/2018
  • Last Update Date: 08/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345411690
  • Enrollment ID: I20191017001668

Medical Identifiers

Medical identifiers for Ms Nicole M Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710489034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 226470 (Arizona)Primary
363LF0000XNurse Practitioner - Family 4704308961 (Michigan)Secondary
363LP2300XNurse Practitioner - Primary Care 4704308961 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valleywise Health Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alliance Wound Care Services Llc86285861877
Nm Pacs 2 Llc3375892060108
Arizona Post-acute Medical Services 1 Pc468895123918
Ives De Chazal, Md, Pllc45870620472
District Medical Group Inc7315086691454
Maricopa Pulmonary Consultants Llc79112736449

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. Ms Nicole M Davis allows following entities to bill medicare on her behalf.
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583
Entity NameAlveo LC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639517436
PECOS PAC ID: 1254573546
Enrollment ID: O20130816000077
Entity NameUnomed LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972912228
PECOS PAC ID: 7416261086
Enrollment ID: O20150728003597
Entity NameAllied Internal Medicine PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124408232
PECOS PAC ID: 7315251964
Enrollment ID: O20150917003141
Entity NameArizona Post-acute Medical Services 1 PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093254419
PECOS PAC ID: 4688951239
Enrollment ID: O20170508002340
Entity NameMaricopa Pulmonary Consultants LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710413588
PECOS PAC ID: 7911273644
Enrollment ID: O20171025002214
Entity NameKmtrask PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518413962
PECOS PAC ID: 8921386483
Enrollment ID: O20171212002971
Entity NameNM Pacs 2 LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366928749
PECOS PAC ID: 3375892060
Enrollment ID: O20200608000689
Entity NameSignify Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210305000869
Entity NameIves De Chazal, MD, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720750425
PECOS PAC ID: 4587062047
Enrollment ID: O20211013003090
Entity NameNexus Wound Consultants LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407628316
PECOS PAC ID: 3577913805
Enrollment ID: O20231228001031
Entity NameCS Pacs 3 West LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073378238
PECOS PAC ID: 8921546797
Enrollment ID: O20241016003681
Entity NameAlliance Wound Care Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083406722
PECOS PAC ID: 8628586187
Enrollment ID: O20250805002518
Entity NameHarmony Plus LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922968999
PECOS PAC ID: 3971098260
Enrollment ID: O20251224000184

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. Ms Nicole M 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 AddressPractice Location Address
Ms Nicole M Davis, FNP-BC
9200 N Central Ave Ste 2,
Phoenix, AZ 85020-2463

Ph: (480) 999-4954		Ms Nicole M Davis, FNP-BC
9200 N Central Ave Ste 2,
Phoenix, AZ 85020-2463

Ph: (480) 999-4954

Reviews and Comments


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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).

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