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JON NICOLE DAVIS PA-C
NPI 1184793903
Physician Assistant in Portland, OR

Active since November 07, 2006PECOS Enrolled
7705 SE DIVISION ST, PORTLAND, OR 97206(503) 777-3311(503) 777-5466 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jon Nicole Davis Pa-c NPPES

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

JON NICOLE DAVIS PA-C (NPI 1184793903) is an individual physician assistant in Portland, Oregon, licensed in Oregon (OR PA00516) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184793903
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJON NICOLE DAVISCredential: PA-C
Location Address7705 SE DIVISION STPortland, OR 97206-1059
Mailing Address241 Se 55th AvePortland, OR 97215-1169 · (503) 230-0971
Phone(503) 777-3311
Fax(503) 777-5466
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184793903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · OR PA00516
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7705 SE DIVISION ST, Portland, OR 97206
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Other Names 1

Former Name (1)J. Nicole Cooper Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Nicole Davis Pa-c 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 97206 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 18

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

SETH ROSENFELD MD
Internal Medicine
7705 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 777-3311
WUI-LEONG KOH
Family Medicine
7705 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 777-3311
CHRISTOPHER DAVID PEARCE O.D.
Optometrist
7705 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 777-5457
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Clinical Medical Laboratory
7705 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 777-5429
JANE DRUMMOND
Internal Medicine
7705 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 777-3311
DR. EDWARD LESLIE RUDEN M.D.
Pediatrics
7705 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 777-3311
BRENDA K FLORES
Technician/Technologist (Optician)
7705 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 777-5457
MR. KEITH MARTIN FINGERETT
Technician/Technologist (Optician)
7705 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 777-3311

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 Jon Davis's NPI number?

The NPI number for Jon Davis is 1184793903. It was assigned to this individual provider in the NPPES registry on November 7, 2006. The provider is also known as J. Nicole Cooper PA.

Where is Jon Davis located?

Jon Davis practices at 7705 SE Division St, Portland, OR 97206. The listed phone number is (503) 777-3311.

What is Jon Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jon Davis enrolled in Medicare?

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

What insurance does Jon Davis accept?

Health plans from Kaiser Permanente list Jon Davis 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 Jon Davis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.