KIMBERLY D DAVIS APN
NPI 1083589592
Nurse Practitioner in Chicago, IL

Q: What is Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1083589592. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Q: What is Kimberly Davis'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 Kimberly Davis was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 06, 2025PECOS Enrolled

5700 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly D Davis Apn NPPES

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

KIMBERLY D DAVIS APN (NPI 1083589592) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (2019010808) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083589592

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY D DAVISCredential: APN

Location Address5700 S MARYLAND AVEChicago, IL 60637-1426

Mailing Address5700 S Maryland AveChicago, IL 60637-1426 · (773) 702-1000

Phone(773) 702-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 6, 2025

NPPES CertifiedOctober 6, 2025

✔ NPI 1083589592 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 IL · 2019010808

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.

5700 S MARYLAND AVE, Chicago, IL 60637

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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)

Kimberly D Davis Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365913241

PECOS Enrollment IDI20260602003206

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 60637 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

HENRY J LIEDL

Student in an Organized Health Care Education/Training Program