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MS. DIETRICH DAVIS DNP, RN, MSN, FNP-BC
NPI 1669707022
Nurse Practitioner - Family in Pearland, TX

Active since October 02, 2009PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
12003 FOUNTAIN BROOK DR, PEARLAND, TX 77584(713) 436-1195 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Dietrich Davis Dnp, Rn, Msn, Fnp-bc NPPES

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

MS. DIETRICH DAVIS DNP, RN, MSN, FNP-BC (NPI 1669707022) is an individual family provider in Pearland, Texas, licensed in Texas (659406) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669707022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DIETRICH DAVISCredential: DNP, RN, MSN, FNP-BC
Location Address12003 FOUNTAIN BROOK DRPearland, TX 77584-8768
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Phone(713) 436-1195
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 2, 2009
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1669707022 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
Licenses✔ Licensed in TX · 659406✔ Licensed in TX · AP118294
12003 FOUNTAIN BROOK DR, Pearland, TX 77584
Open in Google Maps ↗

Secondary Practice Location 1

Location 13003 W Holcombe BlvdHouston, TX 77025-1504 · Phone (713) 442-9400

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

Ms. Dietrich Davis Dnp, Rn, Msn, Fnp-bc 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 ID8426195983
PECOS Enrollment IDI20091102000578
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77584 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$100.84 typical visit price
range $18.45 – $141.27
Typical copayment $25.21 (range $4.61 – $35.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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 Dietrich Davis's NPI number?

The NPI number for Dietrich Davis is 1669707022. It was assigned to this individual provider in the NPPES registry on October 2, 2009.

Where is Dietrich Davis located?

Dietrich Davis practices at 12003 Fountain Brook Dr, Pearland, TX 77584. The listed phone number is (713) 436-1195.

What is Dietrich Davis's specialty?

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

Is Dietrich Davis enrolled in Medicare?

Yes. Dietrich 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 Dietrich Davis was last updated on September 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.