Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BETH ANN DAVISON CNM
NPI 1205200516
Nurse Practitioner - Psychiatric/Mental Health in Centralia, IL

Q: What is Beth Davison's NPI number?

The NPI number for Beth Davison is 1205200516. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Q: What is Beth Davison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Beth Davison was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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 November 24, 2015PECOS EnrolledAccepts Medicare Assignment

444 N PLEASANT AVE, CENTRALIA, IL 62801(618) 436-5665(618) 436-8042 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Apr 4, 2026, May 30, 2025 and 1 more (4 updates tracked since 2015).

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About Beth Ann Davison Cnm NPPES

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

BETH ANN DAVISON CNM (NPI 1205200516) is an individual psychiatric/mental health provider in Centralia, Illinois, licensed in Florida (APRN9470700) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains a secondary practice location in Kankakee.

NPPES Registry Identity

NPI1205200516

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBETH ANN DAVISONCredential: CNM

Location Address444 N PLEASANT AVECentralia, IL 62801-3006

Mailing Address213 Palazzo CirSt Augustine, FL 32092-4504 · (406) 493-4247

Phone(618) 436-5665

Fax(618) 436-8042

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 24, 2015

Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1205200516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · APRN9470700✔ Licensed in IL · 209033166

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License APRN9470700 (FL)

444 N PLEASANT AVE, Centralia, IL 62801

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Secondary Practice Location 1

Location 1150 N Schuyler Ave Ste 205Kankakee, IL 60901-3862 · Phone (815) 998-5786

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Beth Ann Davison Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072805795

PECOS Enrollment IDI20260330002271

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140034

Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62801 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 7

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

MRS. AMBER LYNN WENNERSTROM DNP, PMHNP-C

Nurse Practitioner (Psychiatric/Mental Health)