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MRS. CASSANDRA J DAVIS APRN
NPI 1215477054
Nurse Practitioner in Sublette, KS

Active since February 27, 2017Opted out of Medicare · through Apr 1, 2028
100 W CHOUTEAU AVE, SUBLETTE, KS 67877(620) 510-5004(620) 510-5007 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 2, 2023, Oct 5, 2022, Feb 12, 2021 and 3 more (6 updates tracked since 2017).

About Mrs. Cassandra J Davis Aprn NPPES

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

MRS. CASSANDRA J DAVIS APRN (NPI 1215477054) is an individual nurse practitioner in Sublette, Kansas, licensed in Kansas (53-77576) and active in the NPI registry since February 2017. She has opted out of Medicare through April 1, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215477054
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. CASSANDRA J DAVISCredential: APRN
Location Address100 W CHOUTEAU AVESublette, KS 67877-6738
Mailing AddressPo Box 357Sublette, KS 67877-0357 · (620) 510-5004
Phone(620) 510-5004
Fax(620) 510-5007
Sole ProprietorYes
Enumeration DateFebruary 27, 2017
Last NPPES UpdateNovember 2, 20236 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1215477054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KS · 53-77576
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.
100 W CHOUTEAU AVE, Sublette, KS 67877
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Other Names 1

Other Name (5)Ms. Cassandra J Koehn Aprn

Secondary Practice Locations 2

Location 1825 N Hillside StWichita, KS 67214-4937 · Phone (316) 733-9393 · Fax (877) 892-9679
Location 2309 S Webb StMeade, KS 67864-6732 · Phone (620) 873-8745

Other Identifiers 1

MedicaidKANSASKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Cassandra J Davis Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67877 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$17.47 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier16 claims16 services$54.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers51 claims53 services$110.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims25 services$36.67 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers12 claims720 services$0.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers15 claims15 services$197.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Cassandra Davis's NPI number?

The NPI number for Cassandra Davis is 1215477054. It was assigned to this individual provider in the NPPES registry on February 27, 2017. The provider is also known as Ms. Cassandra J Koehn Aprn.

Where is Cassandra Davis located?

Cassandra Davis practices at 100 W Chouteau Ave, Sublette, KS 67877. The listed phone number is (620) 510-5004.

What is Cassandra Davis's specialty?

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

Is Cassandra Davis enrolled in Medicare?

No. Cassandra Davis has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Cassandra Davis accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Cassandra 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 Cassandra Davis was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.