MRS. COURTNEY DAVILA NP
NPI 1083116040
Nurse Practitioner - Family in Riverhead, NY
About Mrs. Courtney Davila Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. COURTNEY DAVILA NP (NPI 1083116040) is an individual family provider in Riverhead, New York, licensed in New York (342365) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2017).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Mrs. Courtney Davila Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Courtney Davila reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverhead, NY 11901
- Reassigned Medicare billing, New York enrollment
- 18 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peconic Bay Medical Center
Acute Care Hospitals · Riverhead, NYSuny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
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 Courtney Davila's NPI number?
The NPI number for Courtney Davila is 1083116040. It was assigned to this individual provider in the NPPES registry on March 6, 2018.
Where is Courtney Davila located?
Courtney Davila practices at 951 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 727-7773.
What is Courtney Davila's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Courtney Davila enrolled in Medicare?
Yes. Courtney Davila 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 organizations bill Medicare for Courtney Davila's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Davila reassigns Medicare benefits to 2 organizations: Peconic Cardiology, PC (Riverhead, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each 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 Courtney Davila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Courtney Davila affiliated with any hospitals?
According to CMS data, Courtney Davila is affiliated with Peconic Bay Medical Center and Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Courtney Davila was last updated on December 28, 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.
# Mrs. Courtney Davila, NP · NPI 1083116040
Family physician in Riverhead, New York. Individual provider, active in the CMS NPPES registry since March 6, 2018.
## Identity
- **NPI:** 1083116040 (Entity type: Individual)
- **Enumerated:** March 6, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 342365 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 951 ROANOKE AVE, Riverhead, NY 11901-2724
- **Phone:** (631) 727-7773 · **Fax:** (631) 727-7832
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Peconic Cardiology, PC (NPI 1932688629, Riverhead, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2017
## Record status
- **NPPES last updated:** December 28, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1083116040) · Data from the CMS NPPES public registry.