CAROL A DAVIS FNP-BC
NPI 1104101344
Nurse Practitioner - Family in Cheyenne, WY

Active since October 19, 2011PECOS Enrolled
6900 ALDEN DR. BLDG 160, F.E. WARREN AFB, CHEYENNE, WY 82005(307) 773-5383 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol A Davis Fnp-bc NPPES

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

CAROL A DAVIS FNP-BC (NPI 1104101344) is an individual family provider in Cheyenne, Wyoming, licensed in Wyoming (17455.1096) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104101344
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL A DAVISCredential: FNP-BC
Location Address6900 ALDEN DR. BLDG 160, F.E. WARREN AFBCheyenne, WY 82005-4800
Mailing Address5050 Powderhouse RdCheyenne, WY 82009-4800 · (307) 634-1311 · Fax (307) 634-1271
Sole ProprietorNo
Enumeration DateOctober 19, 2011
Last NPPES UpdateMay 4, 2018
NPI 1104101344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in WY · 17455.1096 Licensed in WY · 17455
Also ListedRegistered NurseTaxonomy 163W00000X · License 17455.1096 (WY)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 17455.1096 (WY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP-990256 (CO), 17455 (WY)
6900 ALDEN DR. BLDG 160, Cheyenne, WY 82005

Other Identifiers 1

Medicaid1104101344WY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carol A Davis Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82005 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

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 Carol Davis's NPI number?

The NPI number for Carol Davis is 1104101344. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Carol Davis located?

Carol Davis practices at 6900 Alden Dr. Bldg 160 F.E. Warren Afb, Cheyenne, WY 82005. The listed phone number is (307) 773-5383.

What is Carol Davis's specialty?

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

Is Carol Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carol Davis was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.