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TYNISHA NICOLE DAVIS FNP-BC
NPI 1760908123
Nurse Practitioner - Family in Philadelphia, PA

Active since August 17, 2017PECOS Enrolled
4190 CITY AVE, PHILADELPHIA, PA 19131(866) 453-8800 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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.

NPPES Registry Identity

NPI1760908123
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTYNISHA NICOLE DAVISCredential: FNP-BC
Location Address4190 CITY AVEPhiladelphia, PA 19131-1626
Mailing Address1130 Myrtlewood AveHavertown, PA 19083-5203 · (484) 469-1477
Phone(866) 453-8800
Sole ProprietorNo
Enumeration DateAugust 17, 2017
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1760908123 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
Licenses✔ Licensed in PA · SP017201✔ Licensed in MD · R270405✔ Licensed in DC · NP500021798✔ Licensed in CA · 95022950✔ Licensed in VA · 0024182325
4190 CITY AVE, Philadelphia, PA 19131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tynisha Nicole Davis Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tynisha Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Residentialist Housecall Med Grp, PC A Pennsylvania Corp
0.1 mi
Geriatric Medicine
4190 CITY AVE, PCOM - ROWLAND HALL, ROOM 528
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 14 clinicians in this Medicare group
NPI 1104205400 (949) 366-1053
Carelon Medical Partners Of North Carolina PC
344 mi
Family Medicine
1100 N RALEIGH BLVD
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 32 clinicians in this Medicare group
NPI 1659775831 (919) 838-2887
Carelon Medical Partners, PC
679 mi
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 22 clinicians in this Medicare group
NPI 1124443403 (615) 454-9850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

ZEEL HEMANTBHAI PATEL M.B.B.S
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. LAUREN NOTO BELL D.O.
Neuromusculoskeletal Medicine & OMM
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6425
DR. ANDREW JOSEPH SZABO D.O.
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6690
DR. STEPHEN CHARLES SIZER D.O.
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
DR. SVETLANA FELDMAN
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6693
MAREN LEIGH DOWNING DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (803) 587-9327
ENT R NET, P A
Otolaryngology
4190 CITY AVE, SUITE 526
PHILADELPHIA, PA 19131
Philadelphia County (215) 879-0060
DR. LEE ANN BRODZIK D.O.
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-1800

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 enrollment system.

Which organizations bill Medicare for Tynisha Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tynisha Davis reassigns Medicare benefits to 3 organizations: Residentialist Housecall Med Grp, PC A Pennsylvania Corp (Philadelphia, PA), Carelon Medical Partners Of North Carolina PC (Raleigh, NC) and Carelon Medical Partners, PC (Nashville, TN). 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 Tynisha Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 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.