KELLY DAVIS FNP
NPI 1699388496
Nurse Practitioner - Family in Fort Wayne, IN

Active since August 31, 2020PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
6326 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 969-6200 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Davis Fnp NPPES

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

KELLY DAVIS FNP (NPI 1699388496) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71010315A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699388496
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY DAVISCredential: FNP
Location Address6326 CONSTITUTION DRFort Wayne, IN 46804-1518
Mailing Address4107 Rocky Knoll CtFort Wayne, IN 46809-9534 · (260) 466-8908
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 31, 2020
NPPES CertifiedAugust 10, 2020
NPI 1699388496 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
License Licensed in IN · 71010315A
6326 CONSTITUTION DR, Fort Wayne, IN 46804

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

Kelly Davis Fnp 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 ID4183034192
PECOS Enrollment IDI20201103001362
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 5

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
131 services124 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
113 services110 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
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.
57 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN
OwnershipProprietary
CMS Certification Number150168
Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Primary Care)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Social Worker (Clinical)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Adult Health)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804

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 Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1699388496. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Kelly Davis located?

Kelly Davis practices at 6326 Constitution Dr, Fort Wayne, IN 46804. The listed phone number is (260) 969-6200.

What is Kelly Davis's specialty?

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

Is Kelly Davis enrolled in Medicare?

Yes. Kelly 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.

Is Kelly Davis affiliated with any hospitals?

According to CMS data, Kelly Davis is affiliated with Lutheran Hospital Of Indiana and The Orthopaedic Hospital Of Lutheran Health Networ.

When was this NPI record last updated?

The NPPES record for Kelly Davis was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.