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KRISTINE ELIZABETH DAVIS FNP-BC, FNP-C
NPI 1275916264
Nurse Practitioner - Family in Goshen, IN

Active since July 08, 2015PECOS Enrolled
2222 RIETH BLVD, STE 100, GOSHEN, IN 46526(574) 875-1200(574) 875-0362 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2022, Jan 11, 2021, Feb 22, 2018 (3 updates tracked since 2018).

About Kristine Elizabeth Davis Fnp-bc, Fnp-c NPPES

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

KRISTINE ELIZABETH DAVIS FNP-BC, FNP-C (NPI 1275916264) is an individual family provider in Goshen, Indiana, licensed in Indiana (71005614A) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275916264
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINE ELIZABETH DAVISCredential: FNP-BC, FNP-C
Location Address2222 RIETH BLVD, STE 100Goshen, IN 46526-5869
Mailing Address3245 Health DrGranger, IN 46530-1380 · (574) 647-1840
Phone(574) 875-1200
Fax(574) 875-0362
Sole ProprietorYes
Enumeration DateJuly 8, 2015
Last NPPES UpdateApril 28, 20233 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1275916264 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 IN · 71005614A
2222 RIETH BLVD, Goshen, IN 46526
Open in Google Maps ↗

Other Identifiers 1

Medicaid201313630IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Elizabeth Davis Fnp-bc, Fnp-c 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 46526 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

SHELLEY EILEEN FROST DPT
Physical Therapist
2222 RIETH BLVD
GOSHEN, IN 46526
Elkhart County (574) 875-9616
GIANNA L POCIASK DPT
Physical Therapist
2222 RIETH BLVD
GOSHEN, IN 46526
Elkhart County (574) 875-1200

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 Kristine Davis's NPI number?

The NPI number for Kristine Davis is 1275916264. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Kristine Davis located?

Kristine Davis practices at 2222 Rieth Blvd Ste 100, Goshen, IN 46526. The listed phone number is (574) 875-1200.

What is Kristine Davis's specialty?

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

Is Kristine Davis enrolled in Medicare?

Yes. Kristine Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristine Davis was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.