DR. NATALISSE WAHLSTROM-DAVILA MD
NPI 1366145591
General Practice in Buckeye, AZ

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment
1500 S WATSON RD STE C104, BUCKEYE, AZ 85326(623) 025-1755 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2025, Mar 27, 2023 (2 updates tracked since 2023).

  • Individual
  • Female
  • Years of Experience 11
  • General Practice
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NATALISSE WAHLSTROM-DAVILA

This page provides the complete NPI Profile along with additional information for Natalisse Wahlstrom-davila, a primary care provider established in Buckeye, Arizona with a medical specialization in General Practice and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1366145591 assigned on March 2023. The practitioner's primary taxonomy code is 208D00000X with license number 74447 (AZ). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1366145591 Verify this NPI
Provider Name
DR. NATALISSE WAHLSTROM-DAVILA MD
Gender
Female
Entity Type
Individual
Location Address
1500 S WATSON RD STE C104 BUCKEYE, AZ 85326
Location Phone
(623) 025-1755
Mailing Address
1500 S WATSON RD STE C104 BUCKEYE, AZ 85326
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
Yes
Enumeration Date
03-27-2023
Last Update Date
03-25-2025
Code Navigator

A primary care provider (PCP) like Natalisse Wahlstrom-davila sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 8 Carr 833
    Guaynabo, PR 00969
    (787) 625-5050

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
74447
License State
AZ
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

23143 (PR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO
  • AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
  • AZ Blue EverydayHealth Prosano Gold ($0 Prosano Health Visits) - HMO
  • AZ Blue EverydayHealth Prosano Silver ($0 Prosano Health Visits) - HMO
  • AZ Blue Portfolio Bronze HSA Focus - HMO
  • AZ Blue StandardHealth Bronze Focus - HMO
  • AZ Blue StandardHealth Gold Focus - HMO
  • AZ Blue StandardHealth Silver Focus - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Natalisse Wahlstrom-davila is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Natalisse Wahlstrom-davila is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9032639596

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250227000845

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. NATALISSE WAHLSTROM-DAVILA MD

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1500 S WATSON RD STE C104
BUCKEYE, AZ 85326
Physician Assistant
1500 S WATSON RD STE C104
BUCKEYE, AZ 85326

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366145591, enumerated as an "individual" on March 27, 2023.

The provider is located at 1500 S WATSON RD STE C104 BUCKEYE, AZ 85326 and the phone number is (623) 025-1755.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Blue. Please consult your insurance carrier or call the provider to verify.