MICHAELA DAVIS FNP
NPI 1205387651
Nurse Practitioner - Family in Du Quoin, IL

Q: What is Michaela Davis's NPI number?

The NPI number for Michaela Davis is 1205387651. It was assigned to this individual provider in the NPPES registry on October 20, 2016. The provider is also known as Michaela Brown Rn.

Q: What is Michaela Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michaela Davis was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 20, 2016PECOS Enrolled

102 E MAIN ST, DU QUOIN, IL 62832(618) 790-2346 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Michaela Davis Fnp NPPES

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

MICHAELA DAVIS FNP (NPI 1205387651) is an individual family provider in Du Quoin, Illinois, licensed in Illinois (209024151) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205387651

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHAELA DAVISCredential: FNP

Location Address102 E MAIN STDu Quoin, IL 62832-1421

Mailing Address102 E Main StDu Quoin, IL 62832-1421 · (618) 790-2346

Phone(618) 790-2346

Sole ProprietorNo

Enumeration DateOctober 20, 2016

Last NPPES UpdateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1205387651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209024151

Also ListedRegistered NurseTaxonomy 163W00000X · License 041445136 (IL)

102 E MAIN ST, Du Quoin, IL 62832

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Other Names 1

Former Name (1)Michaela Brown Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela Davis Fnp 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 62832 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.

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 Michaela Davis's NPI number?

The NPI number for Michaela Davis is 1205387651. It was assigned to this individual provider in the NPPES registry on October 20, 2016. The provider is also known as Michaela Brown Rn.

Where is Michaela Davis located?

Michaela Davis practices at 102 E Main St, Du Quoin, IL 62832. The listed phone number is (618) 790-2346.

What is Michaela Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michaela Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michaela Davis was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.