JILL DAVIDSON
NPI 1215753397
Nurse Practitioner - Family in Kansas City, MO

Active since November 23, 2024PECOS Enrolled
10205 STATE LINE RD, KANSAS CITY, MO 64114(816) 354-3090 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Nov 23, 2024 (2 updates tracked since 2024).

About Jill Davidson NPPES

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

JILL DAVIDSON (NPI 1215753397) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2024047258) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215753397
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILL DAVIDSON
Location Address10205 STATE LINE RDKansas City, MO 64114-4263
Mailing Address12322 Pawnee LnLeawood, KS 66209-1407 · (660) 346-0343
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 23, 2024
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1215753397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MO · 2024047258 Licensed in KS · TMP-162518
10205 STATE LINE RD, Kansas City, MO 64114

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)

Jill Davidson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264957018
PECOS Enrollment IDI20251203000244
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.

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64114 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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

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

Pharmacist
10205 STATE LINE RD
KANSAS CITY, MO 64114

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 Jill Davidson's NPI number?

The NPI number for Jill Davidson is 1215753397. It was assigned to this individual provider in the NPPES registry on November 23, 2024.

Where is Jill Davidson located?

Jill Davidson practices at 10205 State Line Rd, Kansas City, MO 64114. The listed phone number is (816) 354-3090.

What is Jill Davidson's specialty?

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

Is Jill Davidson enrolled in Medicare?

Yes. Jill Davidson is registered in the Medicare PECOS enrollment system.

What insurance does Jill Davidson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Jill Davidson 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.

Is Jill Davidson affiliated with any hospitals?

According to CMS data, Jill Davidson is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Jill Davidson was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.