DEBORAH DAVIDSON MSN, APN
NPI 1063813178
Nurse Practitioner - Psychiatric/Mental Health in Tipton, IN

Active since September 08, 2014PECOS EnrolledAccepts Medicare Assignment
405 FAIRGROUNDS RD, TIPTON, IN 46072(765) 408-0536(765) 405-0539 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 7, 2017 (3 updates tracked since 2017).

About Deborah Davidson Msn, Apn NPPES

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

DEBORAH DAVIDSON MSN, APN (NPI 1063813178) is an individual psychiatric/mental health provider in Tipton, Indiana, licensed in Indiana (71007149A) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063813178
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDEBORAH DAVIDSONCredential: MSN, APN
Location Address405 FAIRGROUNDS RDTipton, IN 46072-9596
Mailing Address800 Fulton StLogansport, IN 46947-1577 · (574) 205-2600
Fax(765) 405-0539
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 8, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1063813178 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 IN · 71007149A
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 309.007493 (IL)
405 FAIRGROUNDS RD, Tipton, IN 46072

Secondary Practice Locations 5

Location 11948 W BoulevardKokomo, IN 46902-6078 · Phone (765) 452-5437 · Fax (844) 684-6185
Location 2401 E 8th StRochester, IN 46975-1443 · Phone (574) 223-8586 · Fax (574) 223-8786
Location 32701 17th StRock Island, IL 61201-5351 · Phone (309) 779-5000
Location 41000 N Broadway Ste APeru, IN 46970-1070 · Phone (765) 472-1931 · Fax (765) 472-1945
Location 51015 Michigan AveLogansport, IN 46947-1526 · Phone (574) 722-5151 · Fax (574) 739-1414

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deborah Davidson Msn, Apn 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 ID8426270935
PECOS Enrollment IDI20170814000942
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 Deborah Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1000 N BROADWAY
Peru, IN 46970
  • Reassigned Medicare billing, Indiana enrollment
  • 55 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.
107 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46072 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

Counselor (Mental Health)
405 FAIRGROUNDS RD
TIPTON, IN 46072
Psychiatry & Neurology (Psychiatry)
405 FAIRGROUNDS RD
TIPTON, IN 46072
Counselor
405 FAIRGROUNDS RD
TIPTON, IN 46072
Social Worker (Clinical)
405 FAIRGROUNDS RD
TIPTON, IN 46072

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 Deborah Davidson's NPI number?

The NPI number for Deborah Davidson is 1063813178. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Deborah Davidson located?

Deborah Davidson practices at 405 Fairgrounds Rd, Tipton, IN 46072. The listed phone number is (765) 408-0536.

What is Deborah Davidson's specialty?

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

Is Deborah Davidson enrolled in Medicare?

Yes. Deborah 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.

Which organization bills Medicare for Deborah Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Davidson reassigns Medicare benefits to Four County Comprehensive Mental Health Center Inc (Peru, IN). 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 Deborah Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deborah Davidson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Deborah 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 Deborah Davidson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.