KRYSTAL DAVIS CNP
NPI 1023951563
Nurse Practitioner - Family in Los Ranchos, NM

Q: What is Krystal Davis's NPI number?

The NPI number for Krystal Davis is 1023951563. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Q: What is Krystal Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Krystal Davis enrolled in Medicare?

No. Krystal Davis has opted out of Medicare through August 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Krystal Davis was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2026Opted out of Medicare · through Aug 3, 2028

7708 4TH ST NW, LOS RANCHOS, NM 87107(505) 924-2229(505) 554-3673 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Krystal Davis Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL DAVIS CNP (NPI 1023951563) is an individual family provider in Los Ranchos, New Mexico, licensed in New Mexico (88942) and active in the NPI registry since April 2026. She has opted out of Medicare through August 3, 2028.

NPPES Registry Identity

NPI1023951563

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRYSTAL DAVISCredential: CNP

Location Address7708 4TH ST NWLos Ranchos, NM 87107-6510

Mailing Address7708 4th St NwLos Ranchos, NM 87107-6510 · (505) 924-2229 · Fax (505) 554-3673

Phone(505) 924-2229

Fax(505) 554-3673

Sole ProprietorNo

Enumeration DateApril 10, 2026

NPPES CertifiedApril 10, 2026

✔ NPI 1023951563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NM · 88942

7708 4TH ST NW, Los Ranchos, NM 87107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Krystal Davis Cnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 3, 2026 through August 3, 2028.

Opt-Out Effective DateAugust 3, 2026

Opt-Out In Effect ThroughAugust 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAR A LUZ BIRTH & HEALTH CENTER

Clinic/Center (Birthing)