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: July 19, 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, maintains 2 additional practice locations, 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
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

Secondary Practice Locations 2

Location 1275 7th AveNew York, NY 10001-6708 · Phone (212) 604-1701 · Fax (212) 604-1750
Location 217 E 102nd St Fl 3New York, NY 10029 · Phone (212) 241-7968 · Fax (212) 824-2312

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.

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.

Social Worker
17 E 102ND ST FL 3, D3-216
NEW YORK, NY 10029
Social Worker
17 E 102ND ST FL 3
NEW YORK, NY 10029
Internal Medicine (Infectious Disease)
17 E 102ND ST FL 3
NEW YORK, NY 10029
Psychologist (Clinical)
17 E 102ND ST FL 3
NEW YORK, NY 10029
Nurse Practitioner (Adult Health)
17 E 102ND ST FL 3
NEW YORK, NY 10029
Nurse Practitioner (Adult Health)
17 E 102ND ST FL 3
NEW YORK, NY 10029
Pharmacy (Community/Retail Pharmacy)
17 E 102ND ST FL 3
NEW YORK, NY 10029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134579972, enumerated as an "individual" on June 13, 2016.

The provider is located at 17 E 102ND ST FL 3 NEW YORK, NY 10029 and the phone number is (212) 241-7968.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.