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ALICIA DAVIS
NPI 1437506722
Nurse Practitioner - Family in Mount Vernon, IL

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
2 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 899-3869 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2021, Jul 12, 2016, May 17, 2016 (3 updates tracked since 2016).

About Alicia Davis NPPES

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

ALICIA DAVIS (NPI 1437506722) is an individual family provider in Mount Vernon, Illinois, licensed in Illinois (209014455) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1437506722
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICIA DAVIS
Location Address2 GOOD SAMARITAN WAYMount Vernon, IL 62864-2408
Mailing Address2 Good Samaritan WayMount Vernon, IL 62864-2408 · (618) 899-3869
Phone(618) 899-3869
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateFebruary 3, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1437506722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014455
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864
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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

Alicia Davis 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 ID4981982444
PECOS Enrollment IDI20161103001573
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.
232 services148 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.
168 services116 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.
46 services46 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.
36 services29 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Washington County Hospital

Critical Access Hospitals · Nashville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141308
Location705 S Grand AveNashville, IL 62263 · Washington County
Emergency services

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC
Psychiatry & Neurology (Sleep Medicine)
2 GOOD SAMARITAN WAY, SUITE 400
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1869
JONATHAN L SORENSON CRNA
Nurse Anesthetist, Certified Registered
2 GOOD SAMARITAN WAY, SUITE 205
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1108
DANIEL HOFFMAN MD
Internal Medicine
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4000
DR. PRATEEK SRINET M.D.
Otolaryngology
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4000
MR. STEVEN J CLARK MD
Surgery (Plastic and Reconstructive Surgery)
2 GOOD SAMARITAN WAY, SUITE 235
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3980
MRS. DEBBIE JANE BENDERSKY RPH
Pharmacist
2 GOOD SAMARITAN WAY, SUITE 120
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4999
DR. ISMAT CHEEMA DO
Internal Medicine
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3607
MARY K MCGARVEY COTA
Occupational Therapy Assistant
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-2400

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 Alicia Davis's NPI number?

The NPI number for Alicia Davis is 1437506722. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Alicia Davis located?

Alicia Davis practices at 2 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 899-3869.

What is Alicia Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alicia Davis enrolled in Medicare?

Yes. Alicia Davis 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.

Is Alicia Davis affiliated with any hospitals?

According to CMS data, Alicia Davis is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Washington County Hospital and Salem Township Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Davis was last updated on February 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.