ELIZABETH JADE DAVIS
NPI 1356169205
Nurse Practitioner - Family in Winchester, IN

Q: What is Elizabeth Davis's NPI number?

The NPI number for Elizabeth Davis is 1356169205. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Q: What is Elizabeth Davis'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 Elizabeth Davis was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2024PECOS EnrolledAccepts Medicare Assignment

409 SE GREENVILLE AVE, WINCHESTER, IN 47394(765) 584-0480(765) 584-0470 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2025, Feb 13, 2025, Sep 30, 2024 (3 updates tracked since 2024).

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About Elizabeth Jade Davis NPPES

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

ELIZABETH JADE DAVIS (NPI 1356169205) is an individual family provider in Winchester, Indiana, licensed in Indiana (71016224A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and maintains a secondary practice location in Winchester.

NPPES Registry Identity

NPI1356169205

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH JADE DAVIS

Location Address409 SE GREENVILLE AVEWinchester, IN 47394-9464

Mailing Address403 E Elm StWinchester, IN 47394-2211

Phone(765) 584-0480

Fax(765) 584-0470

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 30, 2024

Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1356169205 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 · 71016224A

409 SE GREENVILLE AVE, Winchester, IN 47394

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Secondary Practice Location 1

Location 1409 SE Greenville Ave Ste 300Winchester, IN 47394-9465 · Phone (765) 546-8537

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Elizabeth Jade 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 ID6002336195

PECOS Enrollment IDI20250219002376

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.

Hospital Affiliations CMS Care Compare 2

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

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Ascension St Vincent Randolph

Critical Access Hospitals · Winchester, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151301

Location473 E Greenville AveWinchester, IN 47394 · Randolph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47394 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.

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Other Providers at the Same Location NPPES 5

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

ARTHUR R BOERNER MD PSC

Obstetrics & Gynecology