JORDAN CELINE DAVIES
NPI 1083471965
Nurse Practitioner in Utica, NY

Q: What is Jordan Davies's NPI number?

The NPI number for Jordan Davies is 1083471965. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Q: What is Jordan Davies's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Davies was last updated on March 6, 2024. 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 March 06, 2024PECOS Enrolled

1424 GENESEE ST, UTICA, NY 13502(315) 724-6146 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Celine Davies NPPES

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

JORDAN CELINE DAVIES (NPI 1083471965) is an individual nurse practitioner in Utica, New York, licensed in New York (F353278-01) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083471965

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJORDAN CELINE DAVIES

Location Address1424 GENESEE STUtica, NY 13502-5192

Mailing Address1850 Holman City RdClayville, NY 13322-1406 · (315) 941-6297

Phone(315) 724-6146

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 6, 2024

NPPES CertifiedMarch 6, 2024

✔ NPI 1083471965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F353278-01

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1424 GENESEE ST, Utica, NY 13502

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Celine Davies is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436596830

PECOS Enrollment IDI20240321000166

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 8

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

EDITH C PETERSON ANP

Nurse Practitioner (Adult Health)