MR. BLAISE DAVIS FNP-C, FNP-BC
NPI 1114671500
Nurse Practitioner - Family in Tyler, TX

Active since February 05, 2022PECOS Enrolled
1910 ROSELAND BLVD, TYLER, TX 75701(432) 599-0232(903) 533-0441 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2023, Aug 8, 2022, Feb 5, 2022 (3 updates tracked since 2022).

About Mr. Blaise Davis Fnp-c, Fnp-bc NPPES

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

MR. BLAISE DAVIS FNP-C, FNP-BC (NPI 1114671500) is an individual family provider in Tyler, Texas, licensed in Texas (1069902) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1114671500
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BLAISE DAVISCredential: FNP-C, FNP-BC
Location Address1910 ROSELAND BLVDTyler, TX 75701-4246
Mailing Address1910 Roseland BlvdTyler, TX 75701-4246 · (432) 599-0232 · Fax (903) 533-0441
Fax(903) 533-0441
Sole ProprietorNo
Enumeration DateFebruary 5, 2022
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
NPI 1114671500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1069902
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 1069902 (TX)
1910 ROSELAND BLVD, Tyler, TX 75701

Secondary Practice Location 1

Location 11909 Rickety LnTyler, TX 75703-1702 · Phone (903) 596-0606

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Blaise Davis Fnp-c, 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.

Areas of Expertise CMS Part B claims 22

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
265 services183 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services133 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
91 services91 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
90 services90 patients
Vitamin d-3 level 82306
A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
89 services89 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Nurse Practitioner (Family)
1910 ROSELAND BLVD
TYLER, TX 75701
Physician Assistant
1910 ROSELAND BLVD
TYLER, TX 75701
Nurse Practitioner (Family)
1910 ROSELAND BLVD
TYLER, TX 75701
Internal Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Family Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Internal Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Internal Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Nurse Practitioner
1910 ROSELAND BLVD
TYLER, TX 75701

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 Blaise Davis's NPI number?

The NPI number for Blaise Davis is 1114671500. It was assigned to this individual provider in the NPPES registry on February 5, 2022.

Where is Blaise Davis located?

Blaise Davis practices at 1910 Roseland Blvd, Tyler, TX 75701. The listed phone number is (432) 599-0232.

What is Blaise Davis's specialty?

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

Is Blaise Davis enrolled in Medicare?

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

What insurance does Blaise Davis accept?

Health plans from UnitedHealthcare list Blaise Davis 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.

When was this NPI record last updated?

The NPPES record for Blaise Davis was last updated on April 14, 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.