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ELLEN CLARK DAVIES NP
NPI 1134579972
Nurse Practitioner - Family in New York, NY

Active since June 13, 2016PECOS Enrolled
17 E 102ND ST FL 3, NEW YORK, NY 10029(212) 241-7968(212) 824-2312 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2019, Jun 7, 2019, May 10, 2019 and 1 more (4 updates tracked since 2016).

About Ellen Clark Davies Np NPPES

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

ELLEN CLARK DAVIES NP (NPI 1134579972) is an individual family provider in New York, New York, licensed in New York (341606) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1134579972
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN CLARK DAVIESCredential: NP
Location Address17 E 102ND ST FL 3New York, NY 10029
Mailing Address17 E 102nd St Fl 3New York, NY 10029-5204 · (212) 241-7968 · Fax (212) 824-2312
Phone(212) 241-7968
Fax(212) 824-2312
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateOctober 10, 20194 updates tracked since enumeration
✔ NPI 1134579972 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 NY · 341606
Also ListedRegistered NurseTaxonomy 163W00000X · License 623297 (NY)
17 E 102ND ST FL 3, New York, NY 10029
Open in Google Maps ↗

Other Identifiers 1

Medicaid05691387NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Clark Davies Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789175126
PECOS Enrollment IDI20251113003843
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.

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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.

Other Providers at the Same Location NPPES 7

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

CHRISTOPHER JOSEPH LMSW, MPH
Social Worker
17 E 102ND ST FL 3, D3-216
NEW YORK, NY 10029
New York County (347) 640-1506
DR. JEFFREY JAY WEISS PHD
Psychologist (Clinical)
17 E 102ND ST FL 3
NEW YORK, NY 10029
New York County (212) 241-7968
GREGORY PEREZ LMSW
Social Worker
17 E 102ND ST FL 3
NEW YORK, NY 10029
New York County (347) 514-0625
MOUNT SINAI HOSPITAL
Pharmacy (Community/Retail Pharmacy)
17 E 102ND ST FL 3
NEW YORK, NY 10029
New York County (212) 824-7064
SANDRA E COHEN NP
Nurse Practitioner (Adult Health)
17 E 102ND ST FL 3
NEW YORK, NY 10029
New York County (212) 241-7968
MS. LESLIE FOLKS BRADY ANP-BC
Nurse Practitioner (Adult Health)
17 E 102ND ST FL 3
NEW YORK, NY 10029
New York County (212) 241-7968
DR. BEVERLY A FORSYTH MD
Internal Medicine (Infectious Disease)
17 E 102ND ST FL 3
NEW YORK, NY 10029
New York County (212) 241-6741

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 Ellen Davies's NPI number?

The NPI number for Ellen Davies is 1134579972. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Ellen Davies located?

Ellen Davies practices at 17 E 102nd St Fl 3, New York, NY 10029. The listed phone number is (212) 241-7968.

What is Ellen Davies's specialty?

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

Is Ellen Davies enrolled in Medicare?

Yes. Ellen Davies is registered in the Medicare PECOS enrollment system.

Is Ellen Davies affiliated with any hospitals?

According to CMS data, Ellen Davies is affiliated with Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Ellen Davies was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.