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KELLEY REBECCA DAVIS DNP, RN, CPNP-PC
NPI 1043778418
Nurse Practitioner - Pediatrics in Portland, OR

Active since March 05, 2019PECOS Enrolled
300 N GRAHAM ST STE 420, PORTLAND, OR 97227(503) 276-6138 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, Aug 4, 2022, Jan 23, 2020 and 1 more (4 updates tracked since 2019).

About Kelley Rebecca Davis Dnp, Rn, Cpnp-pc NPPES

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

KELLEY REBECCA DAVIS DNP, RN, CPNP-PC (NPI 1043778418) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (202000767NP-PP) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043778418
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLEY REBECCA DAVISCredential: DNP, RN, CPNP-PC
Location Address300 N GRAHAM ST STE 420Portland, OR 97227-1667
Mailing Address300 N Graham St Ste 420Portland, OR 97227-1667 · (503) 276-6138
Phone(503) 276-6138
Sole ProprietorNo
Enumeration DateMarch 5, 2019
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1043778418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OR · 202000767NP-PP
300 N GRAHAM ST STE 420, Portland, OR 97227
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Rebecca Davis Dnp, Rn, Cpnp-pc 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelley Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Emanuel Hospital & Health Center
0.1 mi
General Acute Care Hospital
2801 N GANTENBEIN AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1831112358 (503) 413-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

MS. DEBORAH GRACE DWELLE
Psychologist
300 N GRAHAM ST STE 420
PORTLAND, OR 97227
Multnomah County (503) 276-6138
DR. SHAZA KARAM PSYD
Psychologist (Clinical Child & Adolescent)
300 N GRAHAM ST STE 420
PORTLAND, OR 97227
Multnomah County (503) 276-6500
ABIGAIL SHARER PHD
Psychologist
300 N GRAHAM ST STE 420
PORTLAND, OR 97227
Multnomah County (503) 276-6138
KENDRA ALKIRE
Psychologist
300 N GRAHAM ST STE 420
PORTLAND, OR 97227
Multnomah County (503) 276-6138
KENT DAVID ROSENWALD M.D.
Pediatrics (Pediatric Gastroenterology)
300 N GRAHAM ST STE 420
PORTLAND, OR 97227
Multnomah County (503) 276-6138

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 Kelley Davis's NPI number?

The NPI number for Kelley Davis is 1043778418. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Kelley Davis located?

Kelley Davis practices at 300 N Graham St Ste 420, Portland, OR 97227. The listed phone number is (503) 276-6138.

What is Kelley Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelley Davis enrolled in Medicare?

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

Which organization bills Medicare for Kelley Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Davis reassigns Medicare benefits to Legacy Emanuel Hospital & Health Center (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Davis accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelley 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 Kelley Davis was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.