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: July 19, 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
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

Other Names 1

Former Name (1)J. Nicole Cooper Pa

Accepted 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 20

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

Optometrist
7705 SE DIVISION ST
PORTLAND, OR 97206
Technician/Technologist (Optician)
7705 SE DIVISION ST
PORTLAND, OR 97206
Internal Medicine
7705 SE DIVISION ST
PORTLAND, OR 97206
Family Medicine
7705 SE DIVISION ST
PORTLAND, OR 97206
Family Medicine
7705 SE DIVISION ST
PORTLAND, OR 97206
Pediatrics
7705 SE DIVISION ST
PORTLAND, OR 97206
Technician/Technologist (Optician)
7705 SE DIVISION ST
PORTLAND, OR 97206
Technician/Technologist (Optician)
7705 SE DIVISION ST
PORTLAND, OR 97206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184793903, enumerated as an "individual" on November 07, 2006.

The provider is located at 7705 SE DIVISION ST PORTLAND, OR 97206 and the phone number is (503) 777-3311.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.