MR. JUSTIN WILLIAM DAVIS MSN, APRN, FNP-C
NPI 1043853302
Nurse Practitioner - Family in Bardstown, KY
About Mr. Justin William Davis Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTIN WILLIAM DAVIS MSN, APRN, FNP-C (NPI 1043853302) is an individual family provider in Bardstown, Kentucky, licensed in Kentucky (3013878) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Justin William Davis Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Justin Davis's NPI number?
The NPI number for Justin Davis is 1043853302. It was assigned to this individual provider in the NPPES registry on October 18, 2019.
Where is Justin Davis located?
Justin Davis practices at 110 W John Rowan Blvd, Bardstown, KY 40004. The listed phone number is (502) 337-7409.
What is Justin Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Justin Davis enrolled in Medicare?
Yes. Justin Davis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Justin Davis was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Justin William Davis, MSN, APRN, FNP-C · NPI 1043853302
Family physician in Bardstown, Kentucky. Individual provider, active in the CMS NPPES registry since October 18, 2019.
## Identity
- **NPI:** 1043853302 (Entity type: Individual)
- **Enumerated:** October 18, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3013878 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 W JOHN ROWAN BLVD, Bardstown, KY 40004-2663
- **Phone:** (502) 337-7409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 18, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1043853302) · Data from the CMS NPPES public registry.