ATHENA DAVOS PMHNP-BC
NPI 1386010528
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Q: What is Athena Davos's NPI number?

The NPI number for Athena Davos is 1386010528. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Q: What is Athena Davos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Athena Davos enrolled in Medicare?

No. Athena Davos has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Athena Davos was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 11, 2015Opted out of Medicare · through Jul 1, 2028

75 FORSYTH STREET, NORTHEASTERN UNIVERISTY SUITE 165G, BOSTON, MA 02115(617) 373-8475 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Athena Davos Pmhnp-bc NPPES

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

ATHENA DAVOS PMHNP-BC (NPI 1386010528) is an individual psychiatric/mental health provider in Boston, Massachusetts, licensed in Massachusetts (2267837) and active in the NPI registry since August 2015. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386010528

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameATHENA DAVOSCredential: PMHNP-BC

Location Address75 FORSYTH STREET, NORTHEASTERN UNIVERISTY SUITE 165GBoston, MA 02115

Mailing Address94 Grayfield AveBoston, MA 02132-2507 · (617) 417-3885

Phone(617) 373-8475

Sole ProprietorNo

Enumeration DateAugust 11, 2015

Last NPPES UpdateOctober 11, 2016

✔ NPI 1386010528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · 2267837

Also ListedRegistered NurseTaxonomy 163W00000X · License 2267837 (MA)

75 FORSYTH STREET, Boston, MA 02115

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Athena Davos Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 Athena Davos's NPI number?

The NPI number for Athena Davos is 1386010528. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Athena Davos located?

Athena Davos practices at 75 Forsyth Street Northeastern Univeristy Suite 165G, Boston, MA 02115. The listed phone number is (617) 373-8475.

What is Athena Davos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Athena Davos enrolled in Medicare?

No. Athena Davos has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Athena Davos was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.