PORTIA O DAVIS FNP
NPI 1497201511
Nurse Practitioner - Family in Latham, NY

Q: What is Portia Davis's NPI number?

The NPI number for Portia Davis is 1497201511. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Q: What is Portia Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Portia Davis was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 29, 2016PECOS Enrolled

1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110(518) 348-3176 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2019, Aug 29, 2016 (2 updates tracked since 2016).

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About Portia O Davis Fnp NPPES

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

PORTIA O DAVIS FNP (NPI 1497201511) is an individual family provider in Latham, New York, licensed in New York (F340367) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Schenectady.

NPPES Registry Identity

NPI1497201511

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePORTIA O DAVISCredential: FNP

Location Address1205 TROY SCHENECTADY RD STE 101Latham, NY 12110-1074

Mailing Address1044 State StSchenectady, NY 12307-1508 · (518) 370-1441 · Fax (518) 395-9431

Phone(518) 348-3176

Sole ProprietorNo

Enumeration DateAugust 29, 2016

Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration

✔ NPI 1497201511 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 NY · F340367

1205 TROY SCHENECTADY RD STE 101, Latham, NY 12110

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Secondary Practice Location 1

Location 11044 State StSchenectady, NY 12307-1508 · Phone (518) 370-1441 ext. 4155 · Fax (518) 395-9431

Other Identifiers 1

Medicaid02995513NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portia O Davis Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

LAUREN M CABANA PA

Physician Assistant