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KRISTIN ANNE JEAN DAVIS PA-C
NPI 1689447674
Physician Assistant in Loma Linda, CA

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
25455 BARTON RD STE 206A, LOMA LINDA, CA 92354(909) 558-6511 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Jan 4, 2024, Dec 5, 2023 and 1 more (4 updates tracked since 2023).

About Kristin Anne Jean Davis Pa-c NPPES

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

KRISTIN ANNE JEAN DAVIS PA-C (NPI 1689447674) is an individual physician assistant in Loma Linda, California, licensed in California (PA63419) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689447674
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN ANNE JEAN DAVISCredential: PA-C
Location Address25455 BARTON RD STE 206ALoma Linda, CA 92354-3130
Mailing AddressFile #54701Los Angeles, CA 90074-4701 · (909) 651-4300
Phone(909) 558-6511
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 1, 2023
Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1689447674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA63419
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.
25455 BARTON RD STE 206A, Loma Linda, CA 92354
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Other Names 1

Former Name (1)Kristin Anne Jean Didier Pa-c

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

Kristin Anne Jean Davis Pa-c 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 ID3870944705
PECOS Enrollment IDI20240104003904
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services109 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.
62 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 5

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

DR. ROGER D. WOODRUFF MD
Family Medicine
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6505
DR. CHRISTINE S KIM PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
25455 BARTON RD STE 206A, DEPARTMENT OF FAMILY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
DANIEL ROBERT REICHERT M.D.
Family Medicine
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
BRENDA LYNN REA MD
Family Medicine
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6688
DR. KAREN CHILD SHANNON MD
Family Medicine
25455 BARTON RD STE 206A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600

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 Kristin Davis's NPI number?

The NPI number for Kristin Davis is 1689447674. It was assigned to this individual provider in the NPPES registry on November 1, 2023. The provider is also known as Kristin Anne Jean Didier Pa-C.

Where is Kristin Davis located?

Kristin Davis practices at 25455 Barton Rd Ste 206A, Loma Linda, CA 92354. The listed phone number is (909) 558-6511.

What is Kristin Davis's specialty?

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

Is Kristin Davis enrolled in Medicare?

Yes. Kristin 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 Kristin Davis was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.