TAISHA S DAVIS NP
NPI 1164944294
Nurse Practitioner - Family in Monroe, NY
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taisha S Davis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Taisha Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, NY 10941
- Reassigned Medicare billing, New York enrollment
- 434 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 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.
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.
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 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.
Where is Taisha Davis located?
Taisha Davis practices at 855 State Route 17M, Monroe, NY 10950. The listed phone number is (845) 703-6999.
What is Taisha Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Taisha Davis enrolled in Medicare?
Yes. Taisha Davis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Taisha Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taisha Davis reassigns Medicare benefits to Crystal Run Healthcare Physicians LLP (Middletown, NY). The 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 Taisha Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Taisha S Davis, NP · NPI 1164944294
Family physician in Monroe, New York. Individual provider, active in the CMS NPPES registry since July 11, 2017.
## Identity
- **NPI:** 1164944294 (Entity type: Individual)
- **Enumerated:** July 11, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F341964 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 855 STATE ROUTE 17M, Monroe, NY 10950-1600
- **Phone:** (845) 703-6999 · **Fax:** (845) 703-6297
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Crystal Run Healthcare Physicians LLP (NPI 1952376410, Middletown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164944294) · Data from the CMS NPPES public registry.