TYNISHA NICOLE DAVIS FNP-BC
NPI 1760908123
Nurse Practitioner - Family in Philadelphia, PA
About Tynisha Nicole Davis Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYNISHA NICOLE DAVIS FNP-BC (NPI 1760908123) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017201) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Tynisha Nicole Davis Fnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19131 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19131
PHILADELPHIA, PA 19131
PHILADELPHIA, PA 19131
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 Tynisha Davis's NPI number?
The NPI number for Tynisha Davis is 1760908123. It was assigned to this individual provider in the NPPES registry on August 17, 2017.
Where is Tynisha Davis located?
Tynisha Davis practices at 4190 City Ave, Philadelphia, PA 19131. The listed phone number is (866) 453-8800.
What is Tynisha Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tynisha Davis enrolled in Medicare?
Yes. Tynisha 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 Tynisha Davis was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Tynisha Nicole Davis, FNP-BC · NPI 1760908123
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 17, 2017.
## Identity
- **NPI:** 1760908123 (Entity type: Individual)
- **Enumerated:** August 17, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP017201 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4190 CITY AVE, Philadelphia, PA 19131-1626
- **Phone:** (866) 453-8800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760908123) · Data from the CMS NPPES public registry.