1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Nurse Practitioner
  6. NPI Profile

KATHERINE RENEE DAVIS DNP
NPI 1174181903
Nurse Practitioner in Chicago, IL

Active since June 05, 2019PECOS Enrolled
3433 W MADISON ST, CHICAGO, IL 60624(773) 242-2299(773) 830-1920 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 25, 2022, Jun 5, 2019 (2 updates tracked since 2019).

About Katherine Renee Davis Dnp NPPES

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

KATHERINE RENEE DAVIS DNP (NPI 1174181903) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.019181) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174181903
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE RENEE DAVISCredential: DNP
Location Address3433 W MADISON STChicago, IL 60624-2895
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 242-2299 · Fax (773) 830-1920
Phone(773) 242-2299
Fax(773) 830-1920
Sole ProprietorNo
Enumeration DateJune 5, 2019
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1174181903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in IL · 209.019181✔ Licensed in WI · 11400-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3433 W MADISON ST, Chicago, IL 60624
Open in Google Maps ↗

Other Names 1

Former Name (1)Katherine Puleo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Renee Davis Dnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee, Inc
82 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
82 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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 60624 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADNAN ABDUR RAZZAQUE
Internal Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
DR. SHAZIA SHIVJI MD
Internal Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
MEGAN WHITLEY HATCHER M.D.
Family Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
DR. JAMES GABRIEL HODGES M.D.
Internal Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
MELISSA A CLARK LCSW
Social Worker (Clinical)
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299

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 Katherine Davis's NPI number?

The NPI number for Katherine Davis is 1174181903. It was assigned to this individual provider in the NPPES registry on June 5, 2019. The provider is also known as Katherine Puleo.

Where is Katherine Davis located?

Katherine Davis practices at 3433 W Madison St, Chicago, IL 60624. The listed phone number is (773) 242-2299.

What is Katherine Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katherine Davis enrolled in Medicare?

Yes. Katherine Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Davis reassigns Medicare benefits to 2 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Katherine 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 Katherine Davis was last updated on October 2, 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.