JENNY DAVIS FNP
NPI 1104173632
Nurse Practitioner - Family in New York, NY

Active since August 15, 2012PECOS EnrolledAccepts Medicare Assignment
350 GRAND ST, NEW YORK, NY 10002(212) 634-7550(646) 935-4665 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Davis Fnp NPPES

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

JENNY DAVIS FNP (NPI 1104173632) is an individual family provider in New York, New York, licensed in New York (F342969) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Waldo County General Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104173632
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNY DAVISCredential: FNP
Location Address350 GRAND STNew York, NY 10002-4629
Mailing Address60 Madison Ave Fl 5New York, NY 10010-1600 · (212) 545-2438 · Fax (646) 312-0481
Fax(646) 935-4665
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 15, 2012
Last NPPES UpdateMay 31, 2018
NPI 1104173632 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
Licenses Licensed in NY · F342969 Licensed in ME · CNP121060
350 GRAND ST, New York, NY 10002

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenny Davis Fnp 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 ID6709035314
PECOS Enrollment IDI20120925000503
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.

Hospital Affiliations CMS Care Compare

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

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10002 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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
1 supplier17 claims17 services$112.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims22 services$176.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
350 GRAND ST, ROOM 240
NEW YORK, NY 10002
Registered Nurse
350 GRAND ST
NEW YORK, NY 10002
Speech-Language Pathologist
350 GRAND ST
NEW YORK, NY 10002
Social Worker
350 GRAND ST
NEW YORK, NY 10002
Nurse Practitioner (Family)
350 GRAND ST, ROOM 240
NEW YORK, NY 10002
Clinic/Center (Federally Qualified Health Center (FQHC))
350 GRAND ST, ROOM 240
NEW YORK, NY 10002

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 Jenny Davis's NPI number?

The NPI number for Jenny Davis is 1104173632. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Jenny Davis located?

Jenny Davis practices at 350 Grand St, New York, NY 10002. The listed phone number is (212) 634-7550.

What is Jenny Davis's specialty?

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

Is Jenny Davis enrolled in Medicare?

Yes. Jenny Davis 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.

Is Jenny Davis affiliated with any hospitals?

According to CMS data, Jenny Davis is affiliated with Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Jenny Davis was last updated on May 31, 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.