AMANDA NICOLE DAVIS CNP
NPI 1164724787
Nurse Practitioner - Family in Jackson, OH

Q: What is Amanda Davis's NPI number?

The NPI number for Amanda Davis is 1164724787. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Q: What is Amanda Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Davis was last updated on August 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 02, 2010PECOS EnrolledAccepts Medicare Assignment

81.42/100

CMS Quality Rating

280 PATTONSVILLE RD, JACKSON, OH 45640(740) 395-8805(740) 395-8855 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amanda Nicole Davis Cnp NPPES

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

AMANDA NICOLE DAVIS CNP (NPI 1164724787) is an individual family provider in Jackson, Ohio, licensed in Ohio (COA.12007-NP) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164724787

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA NICOLE DAVISCredential: CNP

Location Address280 PATTONSVILLE RDJackson, OH 45640-9452

Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 992-0060 · Fax (740) 446-5854

Phone(740) 395-8805

Fax(740) 395-8855

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 2, 2010

Last NPPES UpdateAugust 7, 2014

✔ NPI 1164724787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · COA.12007-NP

280 PATTONSVILLE RD, Jackson, OH 45640

Open in Google Maps ↗

Other Identifiers 3

Other000000691801OH · Anthem Bcbs

Medicaid3810019225WV

Medicaid3108845OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

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

Amanda Nicole Davis Cnp 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 ID3375724628

PECOS Enrollment IDI20110221000527

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

96 services91 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

94 services88 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

59 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361320

Location500 Burlington RoadJackson, OH 45640 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45640 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.28

Promoting Interoperability

100

Improvement Activities

Cost

57.96

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$62.50 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ANNE M. HYNES M.D

Family Medicine