Tanner Davis, DNP - Medicare Nurse Practitioner in Dewey, AZ

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Tanner Davis, DNP is a medicare enrolled "Nurse Practitioner - Family" in Dewey, Arizona. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Minuteclinic Diagnostic Of Kansas Pa and his current practice location is 12075 E State Route 69 Ste B, Dewey, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 772-1673.

Tanner Davis is licensed to practice in Arizona (license number 341074) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962201491.

Contact Information

Tanner Davis, DNP
12075 E State Route 69 Ste B,
Dewey, AZ 86327-4569
(928) 772-1673
(928) 772-1674

Map and Direction




Provider's Profile

Full NameTanner Davis
GenderMale
SpecialityNurse Practitioner
Experience2 Years
Location12075 E State Route 69 Ste B, Dewey, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tanner Davis graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1962201491
  • Provider Enumeration Date: 03/08/2025
  • Last Update Date: 07/21/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7113441320
  • Enrollment ID: I20250409002553

Medical Identifiers

Medical identifiers for Tanner Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962201491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 341074 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Kansas Pa7416043807139

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. Tanner Davis allows following entities to bill medicare on his behalf.
Entity NameMinuteclinic Diagnostic of Kansas PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629005558
PECOS PAC ID: 7416043807
Enrollment ID: O20071017000125

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. Tanner 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
Tanner Davis, DNP
12075 E State Route 69 Ste B,
Dewey, AZ 86327-4569

Ph: (928) 772-1673		Tanner Davis, DNP
12075 E State Route 69 Ste B,
Dewey, AZ 86327-4569

Ph: (928) 772-1673

Reviews and Comments


Nurse Practitioner Nurses in Dewey, AZ

Vanessa Margaret Scheu, NP-C, MSN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1485 E Sunset Pt, Dewey, AZ 86327
Phone: 928-221-0111    Fax: 928-224-5290
Lindsey M Robbins, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12075 E State Route 69 Ste B, Dewey, AZ 86327
Phone: 928-772-1673    Fax: 928-772-1674
Ms. Mary Elizabeth Massieu, DNP, FNP -C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12075 E State Route 69, Dewey, AZ 86327
Phone: 928-777-9600    Fax: 602-218-4443
Mrs. Sheila Lynelle Uridil, APRN-NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13175 East Highway 169, Dewey, AZ 86027
Phone: 928-632-1155    Fax: 928-632-8295
Mr. Frederic Leland Ondovchak, R.N., M.S.N., A.P.R.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13175 E State Route 169, Dewey, AZ 86327
Phone: 928-632-1155    Fax: 928-632-5580

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.