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STACEY DAVIS PMHNP-BC
NPI 1508454448
Nurse Practitioner - Psychiatric/Mental Health in Oak Park, IL

Active since January 06, 2021PECOS Enrolled
1010 LAKE ST STE 100, OAK PARK, IL 60301(708) 790-5200 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2021, Jan 6, 2021 (2 updates tracked since 2021).

About Stacey Davis Pmhnp-bc NPPES

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

STACEY DAVIS PMHNP-BC (NPI 1508454448) is an individual psychiatric/mental health provider in Oak Park, Illinois, licensed in Illinois (209.022618) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Calumet Park, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508454448
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACEY DAVISCredential: PMHNP-BC
Location Address1010 LAKE ST STE 100Oak Park, IL 60301-1106
Mailing Address1137 W 127th StCalumet Park, IL 60827-6537 · (708) 620-7807
Phone(708) 790-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 6, 2021
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1508454448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.022618
1010 LAKE ST STE 100, Oak Park, IL 60301
Open in Google Maps ↗

Secondary Practice Location 1

Location 11137 W 127th StCalumet Park, IL 60827-6537 · Phone (708) 620-7807

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Davis Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133695794
PECOS Enrollment IDI20260819001803
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 Reassignments

2

Medicare enrollment records show Stacey Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Telecare, PLLC
799 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540
Forefront-Rosenzweig Medical Services Professional Corporation
799 mi
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
NPI 1588101745 (972) 449-0540

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60301 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Stacey Davis's NPI number?

The NPI number for Stacey Davis is 1508454448. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Where is Stacey Davis located?

Stacey Davis practices at 1010 Lake St Ste 100, Oak Park, IL 60301. The listed phone number is (708) 790-5200.

What is Stacey Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacey Davis enrolled in Medicare?

Yes. Stacey Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Davis reassigns Medicare benefits to 2 organizations: Access Telecare, PLLC (Dallas, TX) and Forefront-Rosenzweig Medical Services Professional Corporation (Dallas, TX). Each 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 Stacey Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Davis accept?

Health plans from Oscar Health and UnitedHealthcare list Stacey 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 Stacey Davis was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.