MICHAEL DAVIS
NPI 1124908314
Nurse Anesthetist, Certified Registered in Tyler, TX

Active since September 06, 2025Accepts Medicare Assignment
1000 S BECKHAM AVE, TYLER, TX 75701(903) 597-0351 Get Directions Write a Review

NPPES record last updated: September 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Davis NPPES

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

MICHAEL DAVIS (NPI 1124908314) is an individual nurse anesthetist, certified registered in Tyler, Texas, licensed in Texas (155754) and active in the NPI registry since September 2025. He is affiliated with Ut Health East Texas Tyler Regional Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124908314
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL DAVIS
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing Address1000 S Beckham AveTyler, TX 75701-1908 · (903) 747-4384
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 6, 2025
NPPES CertifiedSeptember 6, 2025
NPI 1124908314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TX · 155754
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1000 S BECKHAM AVE, Tyler, TX 75701

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

Michael Davis 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 ID1254823024
PECOS Enrollment IDI20251120000786

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Student in an Organized Health Care Education/Training Program
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Surgery (Trauma Surgery)
1000 S BECKHAM AVE
TYLER, TX 75701
Emergency Medicine
1000 S BECKHAM AVE
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 Michael Davis's NPI number?

The NPI number for Michael Davis is 1124908314. It was assigned to this individual provider in the NPPES registry on September 6, 2025.

Where is Michael Davis located?

Michael Davis practices at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 597-0351.

What is Michael Davis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Davis enrolled in Medicare?

Yes. Michael 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 Michael Davis affiliated with any hospitals?

According to CMS data, Michael Davis is affiliated with Ut Health East Texas Tyler Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Davis was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.