KELLEY ANNE DAVIDSON APRN
NPI 1164283578
Nurse Practitioner - Family in Henryetta, OK
About Kelley Anne Davidson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY ANNE DAVIDSON APRN (NPI 1164283578) is an individual family provider in Henryetta, Oklahoma, licensed in Oklahoma (1234) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Kelley Anne Davidson Aprn 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
4Medicare enrollment records show Kelley Davidson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coweta, OK 74429
- Reassigned Medicare billing, Oklahoma enrollment
- 30 clinicians in this Medicare group
Tulsa, OK 74129
- Reassigned Medicare billing, Oklahoma enrollment
- 104 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 171 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 249 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelley Davidson's NPI number?
The NPI number for Kelley Davidson is 1164283578. It was assigned to this individual provider in the NPPES registry on January 22, 2024. The provider is also known as Kelley Anne Davis Np.
Where is Kelley Davidson located?
Kelley Davidson practices at 401 W Main St, Henryetta, OK 74437. The listed phone number is (539) 667-0001.
What is Kelley Davidson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelley Davidson enrolled in Medicare?
Yes. Kelley Davidson 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 Kelley Davidson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Davidson reassigns Medicare benefits to 4 organizations: Medwise LLC (Coweta, OK), Tulsa Emergency Medical Center Inc (Tulsa, OK), Medical Resource Management, LLC (Edmond, OK) and Williams Medical Group Practice, LLC (Lawton, OK). 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 Kelley Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Davidson accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Kelley Davidson 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 Kelley Davidson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kelley Anne Davidson, APRN · NPI 1164283578
Family physician in Henryetta, Oklahoma. Individual provider, active in the CMS NPPES registry since January 22, 2024.
## Identity
- **NPI:** 1164283578 (Entity type: Individual)
- **Enumerated:** January 22, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1234 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 W MAIN ST, Henryetta, OK 74437-4241
- **Phone:** (539) 667-0001
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Medwise LLC (NPI 1629604434, Coweta, OK); Tulsa Emergency Medical Center Inc (NPI 1063479087, Tulsa, OK); Medical Resource Management, LLC (NPI 1104056365, Edmond, OK); Williams Medical Group Practice, LLC (NPI 1346608809, Lawton, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164283578) · Data from the CMS NPPES public registry.