MS. DAVISA RENEE MILLS PA-C
NPI 1740700889
Physician Assistant in Philadelphia, PA
About Ms. Davisa Renee Mills Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DAVISA RENEE MILLS PA-C (NPI 1740700889) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in New York (020909) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Davisa Renee Mills Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Davisa Mills's NPI number?
The NPI number for Davisa Mills is 1740700889. It was assigned to this individual provider in the NPPES registry on June 20, 2017. The provider is also known as Ms. Davisa Renee Simmons Pa-C.
Where is Davisa Mills located?
Davisa Mills practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3008.
What is Davisa Mills's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Davisa Mills enrolled in Medicare?
Yes. Davisa Mills is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Davisa Mills was last updated on December 19, 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.
# Ms. Davisa Renee Mills, PA-C · NPI 1740700889
Physician Assistant physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 20, 2017.
## Identity
- **NPI:** 1740700889 (Entity type: Individual)
- **Enumerated:** June 20, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 020909 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5103
- **Phone:** (215) 707-3008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740700889) · Data from the CMS NPPES public registry.