CHRISTINE LYNN DAVIS PA
NPI 1679826812
Physician Assistant in Mequon, WI

Active since October 25, 2012Opted out of Medicare · through Oct 1, 2026
12203 CORPORATE PKWY, MEQUON, WI 53092(262) 387-8200(262) 387-8239 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Nov 30, 2022, Nov 9, 2022 and 4 more (7 updates tracked since 2017).

About Christine Lynn Davis Pa NPPES

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

CHRISTINE LYNN DAVIS PA (NPI 1679826812) is an individual physician assistant in Mequon, Wisconsin, licensed in Wisconsin (2977-023) and active in the NPI registry since October 2012. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1679826812
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHRISTINE LYNN DAVISCredential: PA
Location Address12203 CORPORATE PKWYMequon, WI 53092-3388
Mailing Address12203 Corporate PkwyMequon, WI 53092-3388 · (262) 387-8200 · Fax (262) 387-8239
Fax(262) 387-8239
Sole ProprietorNo
Enumeration DateOctober 25, 2012
Last NPPES UpdateOctober 18, 20237 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
NPI 1679826812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 2977-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2977-23 (WI)
12203 CORPORATE PKWY, Mequon, WI 53092

Other Identifiers 2

Medicaid100071900WI
Medicaid1679826812WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Christine Lynn Davis Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

Anesthesiology
12203 CORPORATE PKWY
MEQUON, WI 53092
Nurse Practitioner
12203 CORPORATE PKWY
MEQUON, WI 53092
Nurse Practitioner
12203 CORPORATE PKWY
MEQUON, WI 53092
Registered Nurse (Diabetes Educator)
12203 CORPORATE PKWY
MEQUON, WI 53092
Family Medicine
12203 CORPORATE PKWY
MEQUON, WI 53092
Nurse Practitioner
12203 CORPORATE PKWY
MEQUON, WI 53092
Plastic Surgery
12203 CORPORATE PKWY
MEQUON, WI 53092
Internal Medicine
12203 CORPORATE PKWY
MEQUON, WI 53092

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 Christine Davis's NPI number?

The NPI number for Christine Davis is 1679826812. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Christine Davis located?

Christine Davis practices at 12203 Corporate Pkwy, Mequon, WI 53092. The listed phone number is (262) 387-8200.

What is Christine Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Christine Davis enrolled in Medicare?

No. Christine Davis has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Christine Davis accept?

Health plans from Aspirus Health Plan and HealthPartners list Christine 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 Christine Davis was last updated on October 18, 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.