JILL HUTTON DAVIDSON NP
NPI 1265211155
Nurse Practitioner - Family in Santa Rosa, CA

Q: What is Jill Davidson's NPI number?

The NPI number for Jill Davidson is 1265211155. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Q: What is Jill Davidson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jill Davidson was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 28, 2023PECOS Enrolled

1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 303-3600 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jill Hutton Davidson Np NPPES

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

JILL HUTTON DAVIDSON NP (NPI 1265211155) is an individual family provider in Santa Rosa, California, licensed in California (95027431) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265211155

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJILL HUTTON DAVIDSONCredential: NP

Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112

Mailing Address1025 King StSanta Rosa, CA 95404-3402 · (207) 808-9507

Phone(707) 303-3600

Sole ProprietorNo

Enumeration DateSeptember 28, 2023

NPPES CertifiedSeptember 14, 2023

✔ NPI 1265211155 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

License✔ Licensed in CA · 95027431

1300 N DUTTON AVE, Santa Rosa, CA 95401

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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 (PECOS)

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

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 95401 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 20

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

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