1. Home
  2. Directory
  3. Wisconsin
  4. Waupun
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER A DAVIS
NPI 1619490711
Nurse Practitioner - Gerontology in Waupun, WI

Active since July 20, 2017PECOS EnrolledAccepts Medicare Assignment
160 GATEWAY DR, WAUPUN, WI 53963(920) 324-9899 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, Nov 21, 2022, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

About Jennifer A Davis NPPES

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

JENNIFER A DAVIS (NPI 1619490711) is an individual gerontology provider in Waupun, Wisconsin, licensed in Wisconsin (7769) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619490711
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJENNIFER A DAVIS
Location Address160 GATEWAY DRWaupun, WI 53963-2276
Mailing Address160 Gateway DrWaupun, WI 53963-2276 · (920) 324-9899
Phone(920) 324-9899
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 20, 2017
Last NPPES UpdateOctober 10, 20236 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1619490711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WI · 7769
Also ListedNurse PractitionerTaxonomy 363L00000X · License 7769 (WI)
160 GATEWAY DR, Waupun, WI 53963
Open in Google Maps ↗

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

Jennifer A Davis 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 ID1456625763
PECOS Enrollment IDI20170926002458, I20210119002617
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
308 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services18 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
26 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53963 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 3

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

STEPHANIE LYNN BUSH APNP
Nurse Practitioner (Family)
160 GATEWAY DR
WAUPUN, WI 53963
Fond Du Lac County (920) 324-9899
WAUPUN CHIROPRACTIC CENTER, S.C.
Chiropractor
160 GATEWAY DR
WAUPUN, WI 53963
Fond Du Lac County (920) 324-9899
WOUND CARE OF WISCONSIN LLC
Clinic/Center (Primary Care)
160 GATEWAY DR
WAUPUN, WI 53963
Fond Du Lac County (920) 324-9899

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 Jennifer Davis's NPI number?

The NPI number for Jennifer Davis is 1619490711. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Jennifer Davis located?

Jennifer Davis practices at 160 Gateway Dr, Waupun, WI 53963. The listed phone number is (920) 324-9899.

What is Jennifer Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jennifer Davis enrolled in Medicare?

Yes. Jennifer Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Davis was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.