DENESE DAVIS
NPI 1770258147
Nurse Practitioner in Kokomo, IN

Q: What is Denese Davis's NPI number?

The NPI number for Denese Davis is 1770258147. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Q: What is Denese Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Denese Davis was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment

3500 S LAFOUNTAIN ST, KOKOMO, IN 46902(765) 776-3500 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2022, Aug 9, 2021 (2 updates tracked since 2021).

On this page

About Denese Davis NPPES

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

DENESE DAVIS (NPI 1770258147) is an individual nurse practitioner in Kokomo, Indiana, licensed in Indiana (71011408A) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770258147

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDENESE DAVIS

Location Address3500 S LAFOUNTAIN STKokomo, IN 46902-3803

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7584

Phone(765) 776-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 9, 2021

Last NPPES UpdateMay 24, 20222 updates tracked since enumeration

NPPES CertifiedMay 24, 2022

✔ NPI 1770258147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71011408A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3500 S LAFOUNTAIN ST, Kokomo, IN 46902

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Other Identifiers 3

Medicaid300054050IN

Other266180J55IN · Indiv Medicare Ptan

OtherQ00265548IN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Denese Davis 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 ID3870998974

PECOS Enrollment IDI20210827002192

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

Medicare enrollment records show Denese Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Physician Network Specialty Care LLC

38 mi

Cardiovascular Disease

8075 N SHADELAND AVE
Indianapolis, IN 46250

Reassigned Medicare billing, Indiana enrollment
266 clinicians in this Medicare group

NPI 1588535496 (317) 621-8000

Community Physicians Of Indiana Inc

39 mi

Family Medicine

7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256

Reassigned Medicare billing, Indiana enrollment
2,087 clinicians in this Medicare group

NPI 1619105244 (317) 355-5555

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

Areas of Expertise CMS Part B claims 3

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 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.

426 services185 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

57 services53 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.

27 services27 patients

Hospital Affiliations CMS Care Compare

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150007

Location3500 S Lafountain StKokomo, IN 46902 · Howard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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.

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.

LAFOUNTAIN EMERGENCY PHYSICIANS LLC

Emergency Medicine