LIESA A DAVIS NP-C
NPI 1083018501
Nurse Practitioner - Family in Toledo, OH

Q: What is Liesa Davis's NPI number?

The NPI number for Liesa Davis is 1083018501. It was assigned to this individual provider in the NPPES registry on October 13, 2014. The provider is also known as Liesa A Brand Np-C.

Q: What is Liesa Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Liesa Davis was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 13, 2014PECOS EnrolledAccepts Medicare Assignment

4640 W ALEXIS RD, TOLEDO, OH 43623(419) 474-9324(855) 287-0160 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, May 15, 2023, Dec 9, 2015 (3 updates tracked since 2015).

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About Liesa A Davis Np-c NPPES

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

LIESA A DAVIS NP-C (NPI 1083018501) is an individual family provider in Toledo, Ohio, licensed in Ohio (COA.15925-NP) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Toledo Medical College (2014).

NPPES Registry Identity

NPI1083018501

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLIESA A DAVISCredential: NP-C

Location Address4640 W ALEXIS RDToledo, OH 43623-1182

Mailing Address4640 W Alexis RdToledo, OH 43623-1182 · (419) 474-9324 · Fax (552) 870-1608

Phone(419) 474-9324

Fax(855) 287-0160

Sole ProprietorNo

Medical School CMSToledo Medical CollegeGraduated 2014

Enumeration DateOctober 13, 2014

Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1083018501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · COA.15925-NP

4640 W ALEXIS RD, Toledo, OH 43623

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Other Names 1

Former Name (1)Liesa A Brand Np-c

Other Identifiers 1

Medicaid0112089OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Liesa A Davis Np-c 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 ID5991028284

PECOS Enrollment IDI20141217001001

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 5

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.

198 services147 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

134 services97 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

94 services94 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

51 services38 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

26 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 13

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

TIMOTHY B HACKER MD

Internal Medicine