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MRS. ALISA PORTER DAVIS NP
NPI 1427789064
Nurse Practitioner in Bountiful, UT

Active since June 23, 2022PECOS Enrolled
1560 RENAISSANCE TOWNE DR STE 210, BOUNTIFUL, UT 84010(801) 397-6200(801) 397-6201 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Alisa Porter Davis Np NPPES

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

MRS. ALISA PORTER DAVIS NP (NPI 1427789064) is an individual nurse practitioner in Bountiful, Utah, licensed in Utah (6991383-4405) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427789064
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. ALISA PORTER DAVISCredential: NP
Location Address1560 RENAISSANCE TOWNE DR STE 210Bountiful, UT 84010-7666
Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3500 · Fax (801) 475-3494
Phone(801) 397-6200
Fax(801) 397-6201
Sole ProprietorNo
Enumeration DateJune 23, 2022
Last NPPES UpdateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
✔ NPI 1427789064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 6991383-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1560 RENAISSANCE TOWNE DR STE 210, Bountiful, UT 84010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Alisa Porter Davis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alisa Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Woundtech Of Utah, Inc.
6.2 mi
Infectious Disease
517 D ST
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • 12 clinicians in this Medicare group
NPI 1750922415 (954) 923-7440
Ogden Clinic Specialty Services LLC
21 mi
Sports Medicine
4650 HARRISON BLVD
Ogden, UT 84403
  • Reassigned Medicare billing, Utah enrollment
  • 126 clinicians in this Medicare group
NPI 1114203668 (801) 475-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES

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

KATE MALLOY ALLIN PA-C
Physician Assistant
1560 RENAISSANCE TOWNE DR STE 210
BOUNTIFUL, UT 84010
Davis County (801) 397-6100

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 Alisa Davis's NPI number?

The NPI number for Alisa Davis is 1427789064. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Alisa Davis located?

Alisa Davis practices at 1560 Renaissance Towne Dr Ste 210, Bountiful, UT 84010. The listed phone number is (801) 397-6200.

What is Alisa Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alisa Davis enrolled in Medicare?

Yes. Alisa Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alisa Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Davis reassigns Medicare benefits to 2 organizations: Woundtech Of Utah, Inc. (Salt Lake City, UT) and Ogden Clinic Specialty Services LLC (Ogden, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisa Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alisa Davis was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.