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KAITLYN RENEE DAVIDSON NP-C
NPI 1285184713
Nurse Practitioner - Family in Jacksonville, IL

Active since October 07, 2016PECOS EnrolledAccepts Medicare Assignment
15 FOUNDERS LN, JACKSONVILLE, IL 62650(217) 528-7541(217) 243-3658 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2020, Jun 29, 2018 (2 updates tracked since 2018).

About Kaitlyn Renee Davidson Np-c NPPES

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

KAITLYN RENEE DAVIDSON NP-C (NPI 1285184713) is an individual family provider in Jacksonville, Illinois, licensed in Illinois (209014951) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1285184713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN RENEE DAVIDSONCredential: NP-C
Location Address15 FOUNDERS LNJacksonville, IL 62650
Mailing Address1025 S 6th StSpringfield, IL 62703-2499 · (217) 528-7541
Phone(217) 528-7541
Fax(217) 243-3658
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 7, 2016
Last NPPES UpdateMay 22, 20202 updates tracked since enumeration
NPPES CertifiedMay 22, 2020
✔ NPI 1285184713 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 IL · 209014951
15 FOUNDERS LN, Jacksonville, IL 62650
Open in Google Maps ↗

Secondary Practice Location 1

Location 11600 W Walnut StJacksonville, IL 62650-1136 · Phone (217) 245-9541

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

Kaitlyn Renee Davidson Np-c 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 ID9830479716
PECOS Enrollment IDI20161212000723
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
102 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
76 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
69 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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.

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.

CORAL JEANNE ARMOUR LCSW
Social Worker (Clinical)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 291-1041
KACI N HAVLIN
Nurse Practitioner (Family)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
ABIGAIL S WHITE MD
Surgery
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
MOLLY TAYLOR FNP
Nurse Practitioner (Family)
15 FOUNDERS LN, SUITE 100
JACKSONVILLE, IL 62650
Morgan County (217) 243-0300
HASAN FARID HASAN OTHMAN MD
Pediatrics
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 243-0300
MOSAM B PATEL M.D.
Family Medicine
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
DR. KIM WYATT MD
Family Medicine
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
BRADEN G. ANDERSON OD
Optometrist
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541

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 Kaitlyn Davidson's NPI number?

The NPI number for Kaitlyn Davidson is 1285184713. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is Kaitlyn Davidson located?

Kaitlyn Davidson practices at 15 Founders Ln, Jacksonville, IL 62650. The listed phone number is (217) 528-7541.

What is Kaitlyn Davidson's specialty?

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

Is Kaitlyn Davidson enrolled in Medicare?

Yes. Kaitlyn 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.

Is Kaitlyn Davidson affiliated with any hospitals?

According to CMS data, Kaitlyn Davidson is affiliated with Memorial Medical Center and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlyn Davidson was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.