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CAROLYN FAY DAVIDSON RN, BSN, PMHNP
NPI 1043440480
Nurse Practitioner - Psychiatric/Mental Health in Milwaukee, WI

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
10242 BLUEMOUND RD, MILWAUKEE, WI 53226(414) 301-7744(414) 873-1385 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Fay Davidson Rn, Bsn, Pmhnp NPPES

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

CAROLYN FAY DAVIDSON RN, BSN, PMHNP (NPI 1043440480) is an individual psychiatric/mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (6526-33) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043440480
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCAROLYN FAY DAVIDSONCredential: RN, BSN, PMHNP
Location Address10242 BLUEMOUND RDMilwaukee, WI 53226
Mailing Address10424 W Bluemound RdMilwaukee, WI 53226-4331 · (414) 774-1704 · Fax (414) 873-1385
Phone(414) 301-7744
Fax(414) 873-1385
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 20, 2009
Last NPPES UpdateAugust 12, 2015
✔ NPI 1043440480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 6526-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 110303-030 (WI)
10242 BLUEMOUND RD, Milwaukee, WI 53226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Fay Davidson Rn, Bsn, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648585471
PECOS Enrollment IDI20150821014300
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
289 services91 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Carolyn Davidson's NPI number?

The NPI number for Carolyn Davidson is 1043440480. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Carolyn Davidson located?

Carolyn Davidson practices at 10242 Bluemound Rd, Milwaukee, WI 53226. The listed phone number is (414) 301-7744.

What is Carolyn Davidson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carolyn Davidson enrolled in Medicare?

Yes. Carolyn Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carolyn Davidson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 2 other insurers list Carolyn Davidson 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 Carolyn Davidson was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.