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NICOLE DAVIS MSW, LCSW
NPI 1437932746
Social Worker in Bolivar, MO

Active since August 18, 2023PECOS EnrolledAccepts Medicare Assignment
1240 N BUTTERFIELD RD, BOLIVAR, MO 65613(417) 326-6021 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Aug 18, 2023 (2 updates tracked since 2023).

About Nicole Davis Msw, Lcsw NPPES

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

NICOLE DAVIS MSW, LCSW (NPI 1437932746) is an individual social worker in Bolivar, Missouri, licensed in Missouri (2025049404) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437932746
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameNICOLE DAVISCredential: MSW, LCSW
Location Address1240 N BUTTERFIELD RDBolivar, MO 65613-3016
Mailing Address1240 N Butterfield RdBolivar, MO 65613-3016 · (417) 326-6021
Phone(417) 326-6021
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 18, 2023
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1437932746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MO · 2025049404
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1240 N BUTTERFIELD RD, Bolivar, MO 65613
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Other Names 1

Former Name (1)Nicole Miles

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Davis Msw, Lcsw 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 ID7113379892
PECOS Enrollment IDI20240118000981
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 Reassignment

Medicare enrollment records show Nicole Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Citizens Memorial Healthcare
1.7 mi
Surgery
1500 N OAKLAND AVE
Bolivar, MO 65613
  • Reassigned Medicare billing, Missouri enrollment
  • 249 clinicians in this Medicare group
NPI 1568566131 (417) 326-6000

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

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.

BOLIVAR FAMILY CARE CENTER, LLC
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
KYLA INMAN
Nurse Practitioner (Family)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
ANGEL JOY-MARIE SEUFERT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
CITIZENS MEMORIAL HEALTHCARE
Clinic/Center (Rural Health)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
OLIVIA JENAE CUMLEY FNP
Nurse Practitioner (Family)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
MRS. LAURA C VANCE M.D.
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
BOLIVAR FAMILY CARE CENTER
Clinic/Center (Primary Care)
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021
DR. KAYLA KITTLE MD
Family Medicine
1240 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 326-6021

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 Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1437932746. It was assigned to this individual provider in the NPPES registry on August 18, 2023. The provider is also known as Nicole Miles.

Where is Nicole Davis located?

Nicole Davis practices at 1240 N Butterfield Rd, Bolivar, MO 65613. The listed phone number is (417) 326-6021.

What is Nicole Davis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Nicole Davis enrolled in Medicare?

Yes. Nicole 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.

Which organization bills Medicare for Nicole Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Davis reassigns Medicare benefits to Citizens Memorial Healthcare (Bolivar, MO). The 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 Nicole Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Davis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Nicole Davis 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 Nicole Davis was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.