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SEAN DAVIES APRN
NPI 1083964274
Nurse Practitioner - Family in Rapid City, SD

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
1241 EAST ST. JOSEPH ST, RAPID CITY, SD 57701(573) 310-8473(314) 820-0336 Get Directions Write a Review

NPPES record last updated: June 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2023, Jan 22, 2021, May 1, 2019 and 1 more (4 updates tracked since 2019).

About Sean Davies Aprn NPPES

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

SEAN DAVIES APRN (NPI 1083964274) is an individual family provider in Rapid City, South Dakota, licensed in South Dakota (CP001800) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Pratt Regional Medical Center, and maintains a secondary practice location in Ashland.

NPPES Registry Identity

NPI1083964274
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSEAN DAVIESCredential: APRN
Location Address1241 EAST ST. JOSEPH STRapid City, SD 57701-3199
Mailing Address514 Americas Way #8806Box Elder, SD 57719 · (573) 310-8473
Phone(573) 310-8473
Fax(314) 820-0336
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJune 25, 20234 updates tracked since enumeration
NPPES CertifiedJune 25, 2023
✔ NPI 1083964274 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 SD · CP001800
1241 EAST ST. JOSEPH ST, Rapid City, SD 57701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 Kentucky StAshland, KS 67831-3199 · Phone (620) 635-2241

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.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

Sean Davies Aprn 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 ID5890931208
PECOS Enrollment IDI20160602001174, I20181213000773
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 Reassignments

4

Medicare enrollment records show Sean Davies reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lincoln County Hospital
434 mi
Rural Health
313 E FRANKLIN ST
Lincoln, KS 67455
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1942265327 (Kansas)
  • 48 clinicians in this Medicare group
NPI 1841248952 (785) 524-4403
Mercy Hospital Inc
501 mi
Rural
218 E PACK ST
Moundridge, KS 67107
  • Reassigned Medicare billing, Kansas enrollment
  • 20 clinicians in this Medicare group
NPI 1083628911 (620) 345-6391
Hillsboro Hospital LLC
504 mi
Critical Access
101 INDUSTRIAL RD
Hillsboro, KS 67063
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1710525985 (Kansas)
  • 20 clinicians in this Medicare group
NPI 1740828912 (620) 947-3114
Ashland District Hospital
507 mi
Clinic/Center
625 KENTUCKY ST
Ashland, KS 67831
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1265529614 (Kansas)
  • 24 clinicians in this Medicare group
NPI 1073686002 (620) 635-2241

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 3

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

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170027
Location200 Commodore StPratt, KS 67124 · Pratt County
Emergency services Birthing friendly

Ashland Health Center

Critical Access Hospitals · Ashland, KS
OwnershipVoluntary non-profit - Other
CMS Certification Number171304
Location625 South KentuckyAshland, KS 67831 · Clark County
Emergency services

Meade District Hospital

Critical Access Hospitals · Meade, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171321
Location510 East CarthageMeade, KS 67864 · Meade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims25 services$114.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sean Davies's NPI number?

The NPI number for Sean Davies is 1083964274. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Sean Davies located?

Sean Davies practices at 1241 East St. Joseph St, Rapid City, SD 57701. The listed phone number is (573) 310-8473.

What is Sean Davies's specialty?

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

Is Sean Davies enrolled in Medicare?

Yes. Sean Davies 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 Sean Davies's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Davies reassigns Medicare benefits to 4 organizations: Lincoln County Hospital (Lincoln, KS), Mercy Hospital Inc (Moundridge, KS), Hillsboro Hospital LLC (Hillsboro, KS) and Ashland District Hospital (Ashland, KS). 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 Sean Davies's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Davies accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Sean Davies 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.

Is Sean Davies affiliated with any hospitals?

According to CMS data, Sean Davies is affiliated with Pratt Regional Medical Center, Ashland Health Center and Meade District Hospital.

When was this NPI record last updated?

The NPPES record for Sean Davies was last updated on June 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.