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: November 01, 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, is affiliated with Jps Health Network, and maintains a secondary practice location in Fort Worth.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group

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.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

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.

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

Which organizations bill Medicare for Kyle Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Davidson reassigns Medicare benefits to 2 organizations: Texas Health Physicians Group (Fort Worth, TX) and Acclaim Physician Group, Inc (Fort Worth, TX). 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 Kyle Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 other insurers 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.

Is Kyle Davidson affiliated with any hospitals?

According to CMS data, Kyle Davidson is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Kyle Davidson was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.