DR. JACELYN PAIGE DAVIDSON M.D.
NPI 1689053704
Family Medicine in International Falls, MN
About Dr. Jacelyn Paige Davidson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACELYN PAIGE DAVIDSON M.D. (NPI 1689053704) is an individual family medicine provider in International Falls, Minnesota, licensed in Minnesota (63181) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Centracare Health System - Melrose Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jacelyn Paige Davidson M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacelyn Davidson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Long Prairie, MN 56347
- Reassigned Medicare billing, Minnesota enrollment
- 156 clinicians in this Medicare group
Sauk Centre, MN 56378
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1740553932 (Minnesota)
- 173 clinicians in this Medicare group
Melrose, MN 56352
- Reassigned Medicare billing, Minnesota enrollment
- 180 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centracare Health System - Melrose Hospital
Critical Access Hospitals · Melrose, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56649 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INTERNATIONAL FALLS, MN 56649
INTERNATIONAL FALLS, MN 56649
INTERNATIONAL FALLS, MN 56649
INTERNATIONAL FALLS, MN 56649
INTERNATIONAL FALLS, MN 56649
INTERNATIONAL FALLS, MN 56649
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 Jacelyn Davidson's NPI number?
The NPI number for Jacelyn Davidson is 1689053704. It was assigned to this individual provider in the NPPES registry on May 21, 2015.
Where is Jacelyn Davidson located?
Jacelyn Davidson practices at 2501 Keenan Dr, International Falls, MN 56649. The listed phone number is (218) 283-9431.
What is Jacelyn Davidson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacelyn Davidson enrolled in Medicare?
Yes. Jacelyn Davidson 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.
Which organizations bill Medicare for Jacelyn Davidson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacelyn Davidson reassigns Medicare benefits to 3 organizations: Centracare Health System - Long Prairie (Long Prairie, MN), Centracare Health System - Sauk Centre (Sauk Centre, MN) and Centracare Health System - Melrose (Melrose, MN). 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 Jacelyn Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacelyn Davidson accept?
Health plans from HealthPartners list Jacelyn Davidson 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.
Is Jacelyn Davidson affiliated with any hospitals?
According to CMS data, Jacelyn Davidson is affiliated with Centracare Health System - Melrose Hospital.
When was this NPI record last updated?
The NPPES record for Jacelyn Davidson was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Jacelyn Paige Davidson, M.D. · NPI 1689053704
Family Medicine physician in International Falls, Minnesota. Individual provider, active in the CMS NPPES registry since May 21, 2015.
## Identity
- **NPI:** 1689053704 (Entity type: Individual)
- **Enumerated:** May 21, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 63181 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2501 KEENAN DR, International Falls, MN 56649-2181
- **Phone:** (218) 283-9431
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Centracare Health System - Long Prairie (NPI 1164471678, Long Prairie, MN); Centracare Health System - Sauk Centre (NPI 1578813762, Sauk Centre, MN); Centracare Health System - Melrose (NPI 1720045073, Melrose, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1689053704) · Data from the CMS NPPES public registry.