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

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

Active since November 23, 2024PECOS Enrolled
10205 STATE LINE RD STE 100, KANSAS CITY, MO 64114(816) 354-3090(816) 354-3091 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 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 RD STE 100Kansas City, MO 64114-4263
Mailing Address10205 State Line Rd Ste 100Kansas City, MO 64114-4263 · (816) 354-3090 · Fax (816) 354-3091
Phone(816) 354-3090
Fax(816) 354-3091
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 23, 2024
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ 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 · 53-83871
10205 STATE LINE RD STE 100, Kansas City, MO 64114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jill Davidson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventhealth Primary Care Mar
5.8 mi
Internal Medicine
7450 KESSLER ST STE 300
Merriam, KS 66204
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1992630677 (913) 632-2900
Shawnee Mission Medical Center Inc
5.8 mi
Family Medicine
9100 W 74TH ST
Merriam, KS 66204
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 384 clinicians in this Medicare group
NPI 1992735690 (913) 676-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 3

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

HO LAU DO
Family Medicine
10205 STATE LINE RD STE 100
KANSAS CITY, MO 64114
Jackson County (816) 354-3090
JOEL D KAVAN DO
Family Medicine
10205 STATE LINE RD STE 100
KANSAS CITY, MO 64114
Jackson County (816) 354-3090
LAUREN HUNTER MERRITT APRN
Nurse Practitioner
10205 STATE LINE RD STE 100
KANSAS CITY, MO 64114
Jackson County (816) 354-3090

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 Ste 100, 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.

Which organizations bill Medicare for Jill Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Davidson reassigns Medicare benefits to 2 organizations: Adventhealth Primary Care Mar (Merriam, KS) and Shawnee Mission Medical Center Inc (Merriam, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Davidson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 1 other insurer 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 October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.