MS. KATHY DAI DAVIS C.R.N.P.
NPI 1104975622
Nurse Practitioner - Family in Linthicum Heights, MD
About Ms. Kathy Dai Davis C.r.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATHY DAI DAVIS C.R.N.P. (NPI 1104975622) is an individual family provider in Linthicum Heights, Maryland, licensed in Maryland (R144682) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains a secondary practice location in Catonsville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 6
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
Ms. Kathy Dai Davis C.r.n.p. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kathy Davis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Linthicum Heights, MD 21090
- Reassigned Medicare billing, Maryland enrollment
- 78 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 40 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 27 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Maryland enrollment
- 161 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Maryland enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Frederick Health Hospital
Acute Care Hospitals · Frederick, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LINTHICUM HEIGHTS, MD 21090
LINTHICUM, MD 21090
LINTHICUM HEIGHTS, MD 21090
LINTHICUM HEIGHTS, MD 21090
LINTHICUM HEIGHTS, MD 21090
LINTHICUM HEIGHTS, MD 21090
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 Kathy Davis's NPI number?
The NPI number for Kathy Davis is 1104975622. It was assigned to this individual provider in the NPPES registry on January 10, 2007.
Where is Kathy Davis located?
Kathy Davis practices at 785 Elkridge Landing Rd Ste 300, Linthicum Heights, MD 21090. The listed phone number is (443) 323-3014.
What is Kathy Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathy Davis enrolled in Medicare?
Yes. Kathy 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.
Which organizations bill Medicare for Kathy Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Davis reassigns Medicare benefits to 5 organizations: Five Star Physician Services, LLC (Linthicum Heights, MD), Healthdrive Medical Services, PC (Columbia, MD), Healthdrive Medical Services Southeast LLC (Columbia, MD), Minuteclinic LLC (Rockville, MD) and Hdc Care Solutions, LLC (Framingham, MA). 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 Kathy Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathy Davis affiliated with any hospitals?
According to CMS data, Kathy Davis is affiliated with Frederick Health Hospital.
When was this NPI record last updated?
The NPPES record for Kathy Davis was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kathy Dai Davis, C.R.N.P. · NPI 1104975622
Family physician in Linthicum Heights, Maryland. Individual provider, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1104975622 (Entity type: Individual)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R144682 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 785 ELKRIDGE LANDING RD STE 300, Linthicum Heights, MD 21090-2958
- **Phone:** (443) 323-3014 · **Fax:** (855) 212-5249
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Five Star Physician Services, LLC (NPI 1083654479, Linthicum Heights, MD); Healthdrive Medical Services, PC (NPI 1588469548, Columbia, MD); Healthdrive Medical Services Southeast LLC (NPI 1437930146, Columbia, MD); Minuteclinic LLC (NPI 1134191836, Rockville, MD); Hdc Care Solutions, LLC (NPI 1033861349, Framingham, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 27, 2024
- **Other identifiers:** Other 416893300 (MD); Other 94951602 (MD); Other E402 0022 (DC); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104975622) · Data from the CMS NPPES public registry.