KATHERINE DAVIS MD
NPI 1649731977
Pediatrics in Willard, MO
About Katherine Davis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE DAVIS MD (NPI 1649731977) is an individual pediatrics provider in Willard, Missouri, licensed in Missouri (2023009215) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bolivar.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katherine Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 249 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 65781 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katherine Davis's NPI number?
The NPI number for Katherine Davis is 1649731977. It was assigned to this individual provider in the NPPES registry on March 28, 2019.
Where is Katherine Davis located?
Katherine Davis practices at 502 S Miller Rd, Willard, MO 65781. The listed phone number is (417) 761-6655.
What is Katherine Davis's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Katherine Davis enrolled in Medicare?
Yes. Katherine Davis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katherine Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Davis reassigns Medicare benefits to Citizens Memorial Healthcare (Bolivar, MO). The 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 Katherine Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Davis accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Katherine 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 Katherine Davis was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Katherine Davis, MD · NPI 1649731977
Pediatrics physician in Willard, Missouri. Individual provider, active in the CMS NPPES registry since March 28, 2019.
## Identity
- **NPI:** 1649731977 (Entity type: Individual)
- **Enumerated:** March 28, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2023009215 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 502 S MILLER RD, Willard, MO 65781-9753
- **Phone:** (417) 761-6655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Citizens Memorial Healthcare (NPI 1568566131, Bolivar, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649731977) · Data from the CMS NPPES public registry.