MR. KYLE DAVIDSON AGACNP-BC
NPI 1235463209
Nurse Practitioner - Acute Care in Fort Worth, TX

Active since September 23, 2009PECOS EnrolledAccepts Medicare Assignment
800 5TH AVE STE 500, FORT WORTH, TX 76104(817) 767-4221 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2026, Feb 25, 2022 (2 updates tracked since 2022).

About Mr. Kyle Davidson Agacnp-bc NPPES

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

MR. KYLE DAVIDSON AGACNP-BC (NPI 1235463209) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1055726) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235463209
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. KYLE DAVIDSONCredential: AGACNP-BC
Location Address800 5TH AVE STE 500Fort Worth, TX 76104-7304
Mailing Address800 5th Ave Ste 500Fort Worth, TX 76104-7304 · (720) 318-4870
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 23, 2009
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
NPI 1235463209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 1055726
800 5TH AVE STE 500, Fort Worth, TX 76104

Secondary Practice Location 1

Location 1710 W Leuda StFort Worth, TX 76104-3114 · Phone (817) 702-1100 ext. 27340

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 and accepts Medicare assignment

Mr. Kyle Davidson Agacnp-bc 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 ID6305235409
PECOS Enrollment IDI20211111000413
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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 20

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

Neurological Surgery
800 5TH AVE STE 500
FORT WORTH, TX 76104
Nurse Practitioner (Family)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Physician Assistant (Surgical)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Psychiatry & Neurology (Neurocritical Care)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Neurological Surgery
800 5TH AVE STE 500
FORT WORTH, TX 76104
Neurological Surgery
800 5TH AVE STE 500
FORT WORTH, TX 76104

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 Kyle Davidson's NPI number?

The NPI number for Kyle Davidson is 1235463209. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Kyle Davidson located?

Kyle Davidson practices at 800 5th Ave Ste 500, Fort Worth, TX 76104. The listed phone number is (817) 767-4221.

What is Kyle Davidson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kyle Davidson enrolled in Medicare?

Yes. Kyle Davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Davidson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kyle 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.

When was this NPI record last updated?

The NPPES record for Kyle Davidson was last updated on February 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.