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DESIREE DAVIS
NPI 1295415701
Nurse Practitioner - Family in Staten Island, NY

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment
63 LEXINGTON AVE, STATEN ISLAND, NY 10302(917) 830-6908 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, Jul 19, 2023 (2 updates tracked since 2023).

About Desiree Davis NPPES

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

DESIREE DAVIS (NPI 1295415701) is an individual family provider in Staten Island, New York, licensed in New York (351901) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295415701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDESIREE DAVIS
Location Address63 LEXINGTON AVEStaten Island, NY 10302-2024
Mailing Address114 N Dunton AveEast Patchogue, NY 11772-5542 · (347) 608-6848
Phone(917) 830-6908
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 19, 2023
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1295415701 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 NY · 351901
63 LEXINGTON AVE, Staten Island, NY 10302
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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

Desiree 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 ID5496105843
PECOS Enrollment IDI20231227001174, I20250303001616, I20250624000105
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 Desiree Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bridge Health PLLC
23 mi
Nurse Practitioner
20 E SUNRISE HWY FL 2
Valley Stream, NY 11581
  • Reassigned Medicare billing, Connecticut, Massachusetts and Vermont enrollments
  • 31 clinicians in this Medicare group
NPI 1194574285 (516) 543-6249
Daniel Novick MD PLLC
23 mi
Family
20 E SUNRISE HWY FL 2
Valley Stream, NY 11581
  • Reassigned Medicare billing, New York enrollment
  • 30 clinicians in this Medicare group
NPI 1770327447 (516) 543-6249

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
3,154 services192 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
1,332 services137 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
118 services107 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
100 services47 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
70 services27 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
64 services27 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10302 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Desiree Davis's NPI number?

The NPI number for Desiree Davis is 1295415701. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Desiree Davis located?

Desiree Davis practices at 63 Lexington Ave, Staten Island, NY 10302. The listed phone number is (917) 830-6908.

What is Desiree Davis's specialty?

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

Is Desiree Davis enrolled in Medicare?

Yes. Desiree 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 organizations bill Medicare for Desiree Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Davis reassigns Medicare benefits to 2 organizations: Bridge Health PLLC (Valley Stream, NY) and Daniel Novick MD PLLC (Valley Stream, NY). 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 Desiree Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Desiree Davis affiliated with any hospitals?

According to CMS data, Desiree Davis is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Desiree Davis was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.