JESSICA LYNN DAVIS
NPI 1487312021
Nurse Practitioner - Family in Louisville, KY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since December 01, 2021PECOS Enrolled

312 S 4TH ST STE 700, LOUISVILLE, KY 40202(502) 804-5495(833) 563-1715 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2026, Dec 1, 2021 (2 updates tracked since 2021).

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About Jessica Lynn Davis NPPES

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

JESSICA LYNN DAVIS (NPI 1487312021) is an individual family provider in Louisville, Kentucky, licensed in Indiana (71011335A) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487312021

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA LYNN DAVIS

Location Address312 S 4TH ST STE 700Louisville, KY 40202-3046

Mailing Address312 S 4th St Ste 700Louisville, KY 40202-3046 · (502) 804-5495 · Fax (833) 563-1715

Phone(502) 804-5495

Fax(833) 563-1715

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 1, 2021

Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1487312021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71011335A

312 S 4TH ST STE 700, Louisville, KY 40202

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Other Names 1

Former Name (1)Jessica Lynn Johnson Aprn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709266612

PECOS Enrollment IDI20260205000740

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.

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

JESSICA BUROKER

Nurse Practitioner (Family)