DR. NATALISSE WAHLSTROM-DAVILA MD
NPI 1366145591
General Practice in Buckeye, AZ
About Dr. Natalisse Wahlstrom-davila Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NATALISSE WAHLSTROM-DAVILA MD (NPI 1366145591) is an individual general practice provider in Buckeye, Arizona, licensed in Arizona (74447) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Natalisse Wahlstrom-davila Md 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUCKEYE, AZ 85326
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 Natalisse Wahlstrom-davila's NPI number?
The NPI number for Natalisse Wahlstrom-davila is 1366145591. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Natalisse Wahlstrom-davila located?
Natalisse Wahlstrom-davila practices at 1500 S Watson Rd Ste C104, Buckeye, AZ 85326. The listed phone number is (623) 025-1755.
What is Natalisse Wahlstrom-davila's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Natalisse Wahlstrom-davila enrolled in Medicare?
Yes. Natalisse Wahlstrom-davila 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.
What insurance does Natalisse Wahlstrom-davila accept?
Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Natalisse Wahlstrom-davila 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.
When was this NPI record last updated?
The NPPES record for Natalisse Wahlstrom-davila was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Dr. Natalisse Wahlstrom-Davila, MD · NPI 1366145591
General Practice physician in Buckeye, Arizona. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1366145591 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 74447 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 S WATSON RD STE C104, Buckeye, AZ 85326-8689
- **Phone:** (623) 025-1755
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366145591) · Data from the CMS NPPES public registry.