DAVIS FAMILY HEALTH LLC
NPI 1518435247
Clinic/Center in Mendota, IL

Q: What is Davis Family Health LLC's NPI number?

The NPI number for Davis Family Health LLC is 1518435247. It was assigned to this organization in the NPPES registry on November 12, 2018. The provider is doing business as Davis Family Health LLC/Kelly Ann Tonielli Davis.

Q: What is Davis Family Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 12, 2018CLIA 14D2160066 · Waiver

1201 MERIDEN ST, MENDOTA, IL 61342(815) 538-1800(815) 538-4881 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2026, Sep 7, 2025, Nov 12, 2018 (3 updates tracked since 2018).

On this page

About Davis Family Health Llc NPPES

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

DAVIS FAMILY HEALTH LLC (NPI 1518435247), doing business as Davis Family Health Llc/kelly Ann Tonielli Davis, is a healthcare organization registered as a clinic/center in Mendota, Illinois and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through January 2, 2027, maintains a secondary practice location in Rochelle, and lists Kelly Ann Tonielli Davis, Provider/owner Full Practice Author, as its authorized official.

NPPES Registry Identity

NPI1518435247

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameDAVIS FAMILY HEALTH LLC

Location Address1201 MERIDEN STMendota, IL 61342-2501

Mailing Address1201 Meriden StMendota, IL 61342-2501 · (815) 538-1800 · Fax (815) 538-4881

Phone(815) 538-1800

Fax(815) 538-4881

Organization SubpartNo

Authorized OfficialKelly Ann Tonielli DavisProvider/owner Full Practice Author · (815) 538-1800

Enumeration DateNovember 12, 2018

Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1518435247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

1201 MERIDEN ST, Mendota, IL 61342

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Other Names 1

Doing Business AsDavis Family Health Llc/kelly Ann Tonielli Davis

Secondary Practice Location 1

Location 1450 Coronado DrRochelle, IL 61068-7700 · Phone (815) 608-1746 · Fax (815) 538-4881

Other Identifiers 1

Other1225553803IL · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davis Family Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Davis Family Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Davis, DNP APRN FNP-BC

Nurse Practitioner

NPI 1225553803

1201 MERIDEN ST
Mendota, IL 61342

(815) 538-1800

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2160066

Davis Family Health L L C · Rochelle, IL

Active · expires Jan 2, 2027

CLIA Number14D2160066

Laboratory TypeFamily Nurse Practitioner

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorKelly A. Davis

Laboratory Phone(815) 608-1746

Laboratory LocationDavis Family Health L L C450 Coronado Drive, Rochelle, IL 61068

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Davis Family Health LLC's NPI number?

The NPI number for Davis Family Health LLC is 1518435247. It was assigned to this organization in the NPPES registry on November 12, 2018. The provider is doing business as Davis Family Health LLC/Kelly Ann Tonielli Davis.

Where is Davis Family Health LLC located?

Davis Family Health LLC is located at 1201 Meriden St, Mendota, IL 61342. The listed phone number is (815) 538-1800.

What is Davis Family Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Davis Family Health LLC enrolled in Medicare?

Yes. Davis Family Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Davis Family Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Davis Family Health LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Davis Family Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2160066) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Davis Family Health LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Davis Family Health LLC 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 Davis Family Health LLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.