LYNNETTE A DAVIS APN
NPI 1225260920
Nurse Practitioner - Women's Health in Peoria, IL

Q: What is Lynnette Davis's NPI number?

The NPI number for Lynnette Davis is 1225260920. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Q: What is Lynnette Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Lynnette Davis was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 13, 2009PECOS EnrolledAccepts Medicare Assignment

2419 W CORNERSTONE CT, PEORIA, IL 61614(309) 692-2025 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Sep 9, 2024 (2 updates tracked since 2024).

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About Lynnette A Davis Apn NPPES

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

LYNNETTE A DAVIS APN (NPI 1225260920) is an individual women's health provider in Peoria, Illinois, licensed in Illinois (209.007712) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1225260920

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameLYNNETTE A DAVISCredential: APN

Location Address2419 W CORNERSTONE CTPeoria, IL 61614-2529

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(309) 692-2025

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 13, 2009

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1225260920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in IL · 209.007712

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 209007712 (IL)

2419 W CORNERSTONE CT, Peoria, IL 61614

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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

Lynnette A Davis Apn 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 ID749400844

PECOS Enrollment IDI20141010002295

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

31 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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.

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Other Providers at the Same Location NPPES 16

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

MR. JOSHUA A CROLAND M.D.

Obstetrics & Gynecology