MRS. JEANNE MARIE DAVIS PMHNP
NPI 1619477171
Nurse Practitioner in Troy, NY

Active since February 20, 2018PECOS Enrolled
2215 BURDETT AVE, TROY, NY 12180(518) 271-3540 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2018, May 3, 2018, Apr 23, 2018 and 2 more (5 updates tracked since 2018).

About Mrs. Jeanne Marie Davis Pmhnp NPPES

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

MRS. JEANNE MARIE DAVIS PMHNP (NPI 1619477171) is an individual nurse practitioner in Troy, New York, licensed in New York (402347) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619477171
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JEANNE MARIE DAVISCredential: PMHNP
Location Address2215 BURDETT AVETroy, NY 12180-2466
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Sole ProprietorNo
Enumeration DateFebruary 20, 2018
Last NPPES UpdateJune 16, 20185 updates tracked since enumeration
✔ NPI 1619477171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 402347
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 · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 402347 (NY)
2215 BURDETT AVE, Troy, NY 12180

Other Names 1

Former Name (1)Jeanne Marie Gualtieri

Secondary Practice Locations 2

Location 1106 Cobble Hill DrWilton, NY 12831-2532 · Phone (646) 853-2747
Location 230 Crescent AveSaratoga Springs, NY 12866-5142 · Phone (518) 584-3600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jeanne Marie Davis Pmhnp 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

3

Medicare enrollment records show Jeanne Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
Internal Medicine
53 COLUMBIA STREET
Rensselaer, NY 12144
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
Family Medicine
112 CHARLTON RD
Ballston Lake, NY 12019
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1629415740 (New York)
  • 456 clinicians in this Medicare group

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 12180 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.

Dietitian, Registered
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES
TROY, NY 12180
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Nurse Practitioner (Psychiatric/Mental Health)
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
General Acute Care Hospital
2215 BURDETT AVE, SUITE 200
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE
TROY, NY 12180

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 Jeanne Davis's NPI number?

The NPI number for Jeanne Davis is 1619477171. It was assigned to this individual provider in the NPPES registry on February 20, 2018. The provider is also known as Jeanne Marie Gualtieri.

Where is Jeanne Davis located?

Jeanne Davis practices at 2215 Burdett Ave, Troy, NY 12180. The listed phone number is (518) 271-3540.

What is Jeanne Davis's specialty?

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

Is Jeanne Davis enrolled in Medicare?

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

Which organizations bill Medicare for Jeanne Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Davis reassigns Medicare benefits to 3 organizations: Samaritan Hospital Of Troy, New York (Troy, NY), St. Peter's Hospital Of The City Of Albany (Rensselaer, NY) and Saratoga Hospital (Ballston Lake, NY). 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 Jeanne Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanne Davis was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.