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MICHELLE L DAVIS FNP-C
NPI 1568075604
Nurse Practitioner - Family in Salt Lake City, UT

Active since August 28, 2020PECOS Enrolled
24 S 1100 E STE 305, SALT LAKE CITY, UT 84102(385) 290-1289(385) 290-1290 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle L Davis Fnp-c NPPES

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

MICHELLE L DAVIS FNP-C (NPI 1568075604) is an individual family provider in Salt Lake City, Utah, licensed in Utah (7760277-4409) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568075604
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE L DAVISCredential: FNP-C
Location Address24 S 1100 E STE 305Salt Lake City, UT 84102-4500
Mailing Address24 S 1100 E Ste 305Salt Lake City, UT 84102-4500 · (385) 290-1289
Phone(385) 290-1289
Fax(385) 290-1290
Sole ProprietorNo
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1568075604 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 UT · 7760277-4409
24 S 1100 E STE 305, Salt Lake City, UT 84102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle L Davis Fnp-c 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.

Medicare Billing Reassignments

2

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

Woundtech Of Utah, Inc.
4.7 mi
Infectious Disease
517 D ST
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • 12 clinicians in this Medicare group
NPI 1750922415 (954) 923-7440
Eric C Chenworth D.O.P.C
18 mi
Allergy & Immunology
13348 S MARKET CENTER DR STE 220
Riverton, UT 84065
  • Reassigned Medicare billing, Utah enrollment
  • 6 clinicians in this Medicare group
NPI 1376887927 (385) 290-1289

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 84102 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 Michelle Davis's NPI number?

The NPI number for Michelle Davis is 1568075604. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Michelle Davis located?

Michelle Davis practices at 24 S 1100 E Ste 305, Salt Lake City, UT 84102. The listed phone number is (385) 290-1289.

What is Michelle Davis's specialty?

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

Is Michelle Davis enrolled in Medicare?

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

Which organizations bill Medicare for Michelle Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Davis reassigns Medicare benefits to 2 organizations: Woundtech Of Utah, Inc. (Salt Lake City, UT) and Eric C Chenworth D.O.P.C (Riverton, UT). 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 Michelle Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Davis accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Michelle 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 Michelle Davis was last updated on August 28, 2020. 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.