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KATHRYN DAVIS
NPI 1285213264
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
150 BERGEN ST, NEWARK, NJ 07103(973) 972-6056(973) 972-3129 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathryn Davis NPPES

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

KATHRYN DAVIS (NPI 1285213264) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285213264
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHRYN DAVIS
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address150 Bergen StNewark, NJ 07103-2496 · (973) 972-6056 · Fax (973) 972-3129
Phone(973) 972-6056
Fax(973) 972-3129
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 6, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1285213264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
150 BERGEN ST, Newark, NJ 07103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Kathryn Davis 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 ID5294292132
PECOS Enrollment IDI20260811000963
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 Reassignment

Medicare enrollment records show Kathryn Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southcoast Physicians Group, Inc.
184 mi
Family Medicine
200 MILL ROAD, SUITE 180
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
NPI 1336137629 (508) 973-2000

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.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

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.

MR. ARIEL LIPPA, LPC, LCADC, NCC.
Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
GABRIEL HANNA
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (201) 397-5249
ADRIANA NOEMI GONZALEZ MD
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
DR. SAFIA ANSARI DO
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
MERRY ZHAI MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
HEATHER WANG
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
KOPAL BANSAL MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
ADRIENNE-VYOLET BALK MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300

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 Kathryn Davis's NPI number?

The NPI number for Kathryn Davis is 1285213264. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Kathryn Davis located?

Kathryn Davis practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-6056.

What is Kathryn Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathryn Davis enrolled in Medicare?

Yes. Kathryn Davis 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 organization bills Medicare for Kathryn Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Davis reassigns Medicare benefits to Southcoast Physicians Group, Inc. (Fairhaven, MA). The 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 Kathryn Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Davis accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Kathryn Davis 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 Kathryn Davis affiliated with any hospitals?

According to CMS data, Kathryn Davis is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Kathryn Davis was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.