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CHAD E DAVIS NP
NPI 1104081702
Nurse Practitioner in Logansport, IN

Active since July 23, 2008PECOS Enrolled
1098 S STATE ROAD 25, LOGANSPORT, IN 46947(574) 722-4141(574) 735-3414 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chad E Davis Np NPPES

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

CHAD E DAVIS NP (NPI 1104081702) is an individual nurse practitioner in Logansport, Indiana, licensed in Indiana (71002747A) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104081702
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCHAD E DAVISCredential: NP
Location Address1098 S STATE ROAD 25Logansport, IN 46947-6723
Mailing Address1098 S State Road 25Logansport, IN 46947-6723 · (574) 722-4141 · Fax (574) 735-3414
Phone(574) 722-4141
Fax(574) 735-3414
Sole ProprietorNo
Enumeration DateJuly 23, 2008
Last NPPES UpdateSeptember 15, 2008
✔ NPI 1104081702 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 IN · 71002747A
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.
1098 S STATE ROAD 25, Logansport, IN 46947
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chad E Davis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Chad Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Indiana Auditor Of State
40 mi
Nursing Facility/Intermediate Care Facility
3851 N RIVER RD
West Lafayette, IN 47906
  • Reassigned Medicare billing, Indiana enrollment
  • 112 clinicians in this Medicare group
NPI 1194778001 (765) 463-1502

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46947 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 14

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

BRYCE CALL PHARM.D.
Pharmacist
1098 S STATE ROAD 25
LOGANSPORT, IN 46947
Cass County (574) 737-3856
DR. DANNY J. MEADOWS JR. M.D.
Psychiatry & Neurology (Psychiatry)
1098 S STATE ROAD 25
LOGANSPORT, IN 46947
Cass County (574) 722-4141
DR. DEXTER L. FIELDS M.D.
Psychiatry & Neurology (Psychiatry)
1098 S STATE ROAD 25
LOGANSPORT, IN 46947
Cass County (574) 722-4141
DR. ROBERT C. SHAW JR. M.D.
Psychiatry & Neurology (Psychiatry)
1098 S STATE ROAD 25
LOGANSPORT, IN 46947
Cass County (574) 722-4141
DR. NASSER M. SHINWARIE M.D.
General Practice
1098 S STATE ROAD 25
LOGANSPORT, IN 46947
Cass County (574) 722-4141
STATE OF INDIANA, AUDITOR OF STATE
Pharmacy (Institutional Pharmacy)
1098 S STATE ROAD 25
LOGANSPORT, IN 46947
Cass County (574) 722-4141
MEGAN ELIZABETH SHAAL PSY.D., HSPP
Psychologist (Forensic)
1098 S STATE ROAD 25
LOGANSPORT, IN 46947
Cass County (574) 737-3887
STATE OF INDIANA, AUDITOR OF STATE
Psychiatric Hospital
1098 S STATE ROAD 25
LOGANSPORT, IN 46947
Cass County (574) 722-4141

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 Chad Davis's NPI number?

The NPI number for Chad Davis is 1104081702. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Chad Davis located?

Chad Davis practices at 1098 S State Road 25, Logansport, IN 46947. The listed phone number is (574) 722-4141.

What is Chad Davis's specialty?

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

Is Chad Davis enrolled in Medicare?

Yes. Chad Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chad Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Davis reassigns Medicare benefits to State Of Indiana Auditor Of State (West Lafayette, IN). The 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 Chad Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chad Davis was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.