THEA A DAVIS DNP
NPI 1508335159
Nurse Practitioner in Mesa, AZ

Q: What is Thea Davis's NPI number?

The NPI number for Thea Davis is 1508335159. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Q: What is Thea Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thea Davis was last updated on June 13, 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.

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment

2152 S VINEYARD STE 129, MESA, AZ 85210(480) 443-8400 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, May 8, 2023, Nov 13, 2018 (3 updates tracked since 2018).

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About Thea A Davis Dnp NPPES

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

THEA A DAVIS DNP (NPI 1508335159) is an individual nurse practitioner in Mesa, Arizona, licensed in Arizona (AP11430) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508335159

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHEA A DAVISCredential: DNP

Location Address2152 S VINEYARD STE 129Mesa, AZ 85210-6882

Mailing Address7544 E Irwin AveMesa, AZ 85209-4130 · (480) 443-8400

Phone(480) 443-8400

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 13, 2018

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1508335159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · AP11430

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.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP11430 (AZ)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP11430 (AZ)

2152 S VINEYARD STE 129, Mesa, AZ 85210

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Secondary Practice Location 1

Location 13645 S Rome St Ste 201Gilbert, AZ 85297-7338 · Phone (480) 443-8400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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

Thea A Davis Dnp 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 ID4486992617

PECOS Enrollment IDI20190214000837

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 85210 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 5

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

RALPH EDWARD BENNETT MD

Internal Medicine (Rheumatology)