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MRS. KENISHA DAVIS APRN
NPI 1033604954
Nurse Practitioner - Family in South Holland, IL

Active since June 23, 2018PECOS Enrolled
16266 PRINCE DR, SOUTH HOLLAND, IL 60473(708) 222-7333(708) 221-0501 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Jul 27, 2022, Sep 23, 2021 and 1 more (4 updates tracked since 2018).

About Mrs. Kenisha Davis Aprn NPPES

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

MRS. KENISHA DAVIS APRN (NPI 1033604954) is an individual family provider in South Holland, Illinois, licensed in Illinois (209.017812) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033604954
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KENISHA DAVISCredential: APRN
Location Address16266 PRINCE DRSouth Holland, IL 60473-3233
Mailing Address1393 Brandywine Rd # 1393Crown Point, IN 46307-9307 · (708) 655-1482
Phone(708) 222-7333
Fax(708) 221-0501
Sole ProprietorYes
Enumeration DateJune 23, 2018
Last NPPES UpdateJanuary 31, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1033604954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209.017812✔ Licensed in IL · 277001991✔ Licensed in IN · 71008626A✔ Licensed in AZ · 251171
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71008626A (IN), 277001991 (IL), 251171 (AZ)
16266 PRINCE DR, South Holland, IL 60473
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kenisha Davis Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

KDD VITAL HEALTH AND CONSULTING, LLC
Nurse Practitioner (Family)
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (708) 222-7333
BRANNA TRIPLETT REIKI PRACTITIONER
Peer Specialist
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (815) 365-6646
LARRY E. ZOLLINGER, D.D.S. PC
Dentist (General Practice)
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (708) 596-6181
QUEENS WEIGHT & WELLNESS CENTER
Nurse Practitioner (Psychiatric/Mental Health)
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (708) 222-7333
DR. LARRY EUGENE ZOLLINGER D.D.S.
Dentist (General Practice)
16266 PRINCE DR
SOUTH HOLLAND, IL 60473
Cook County (708) 596-6181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenisha Davis's NPI number?

The NPI number for Kenisha Davis is 1033604954. It was assigned to this individual provider in the NPPES registry on June 23, 2018.

Where is Kenisha Davis located?

Kenisha Davis practices at 16266 Prince Dr, South Holland, IL 60473. The listed phone number is (708) 222-7333.

What is Kenisha Davis's specialty?

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

Is Kenisha Davis enrolled in Medicare?

Yes. Kenisha Davis is registered in the Medicare PECOS enrollment system.

What insurance does Kenisha Davis accept?

Health plans from UnitedHealthcare list Kenisha Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenisha Davis was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.