TAISHA S DAVIS NP
NPI 1164944294
Nurse Practitioner - Family in Monroe, NY

Q: What is Taisha Davis's NPI number?

The NPI number for Taisha Davis is 1164944294. It was assigned to this individual provider in the NPPES registry on July 11, 2017. The provider is also known as Taisha S Penny Np.

Q: What is Taisha 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 Taisha Davis was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since July 11, 2017PECOS Enrolled

855 STATE ROUTE 17M, MONROE, NY 10950(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2020, Jul 11, 2017 (2 updates tracked since 2017).

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About Taisha S Davis Np NPPES

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

TAISHA S DAVIS NP (NPI 1164944294) is an individual family provider in Monroe, New York, licensed in New York (F341964) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164944294

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAISHA S DAVISCredential: NP

Location Address855 STATE ROUTE 17MMonroe, NY 10950-1600

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Enumeration DateJuly 11, 2017

Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1164944294 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 NY · F341964

855 STATE ROUTE 17M, Monroe, NY 10950

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Other Names 1

Former Name (1)Taisha S Penny Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taisha S Davis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10950 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

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

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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.

SANDRA L TETLER FNP

Nurse Practitioner (Family)