JEREMY P DAVIS ACNP-BC
NPI 1386997351
Nurse Practitioner - Acute Care in Shreveport, LA

Q: What is Jeremy Davis's NPI number?

The NPI number for Jeremy Davis is 1386997351. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Q: What is Jeremy Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Davis was last updated on August 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 16, 2012PECOS EnrolledAccepts Medicare Assignment

3217 MABEL ST, SHREVEPORT, LA 71103(318) 631-9121(318) 631-9126 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2022, Jun 26, 2018, Mar 22, 2016 (3 updates tracked since 2016).

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About Jeremy P Davis Acnp-bc NPPES

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

JEREMY P DAVIS ACNP-BC (NPI 1386997351) is an individual acute care provider in Shreveport, Louisiana, licensed in Louisiana (AP07028) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386997351

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJEREMY P DAVISCredential: ACNP-BC

Location Address3217 MABEL STShreveport, LA 71103-4022

Mailing Address3217 Mabel StShreveport, LA 71103-4022 · (318) 631-9121 · Fax (318) 631-9126

Phone(318) 631-9121

Fax(318) 631-9126

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 16, 2012

Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration

NPPES CertifiedAugust 11, 2022

✔ NPI 1386997351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in LA · AP07028

3217 MABEL ST, Shreveport, LA 71103

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Other Identifiers 2

OtherAP07028LA · State License

Medicaid2318969LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.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

Jeremy P Davis Acnp-bc 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 ID3274783170

PECOS Enrollment IDI20121031000427

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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

428 services348 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

234 services213 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

123 services123 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

98 services98 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 20

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

HIRAM VAZQUEZ M.D.

Anesthesiology