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JESSIE DAVIS DO
NPI 1780119412
Internal Medicine - Hospice and Palliative Medicine in Salt Lake City, UT

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment
30 N MARIO CAPECCHI DR RM 2S200, SALT LAKE CITY, UT 84112(801) 581-7822 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessie Davis Do NPPES

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

JESSIE DAVIS DO (NPI 1780119412) is an individual hospice and palliative medicine provider in Salt Lake City, Utah, licensed in Utah (14279187-1204) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palm Springs, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1780119412
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameJESSIE DAVISCredential: DO
Location Address30 N MARIO CAPECCHI DR RM 2S200Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi Dr Rm 2s200Salt Lake City, UT 84112 · (801) 581-7822
Phone(801) 581-7822
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1780119412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in UT · 14279187-1204
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 20A16770 (CA)
30 N MARIO CAPECCHI DR RM 2S200, Salt Lake City, UT 84112
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Other Names 1

Former Name (1)Jessie Navarra Do

Secondary Practice Location 1

Location 11150 N Indian Canyon DrPalm Springs, CA 92262-4872 · Phone (760) 323-6511

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

Jessie Davis Do 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 ID2163758558
PECOS Enrollment IDI20190723002002
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

5

Medicare enrollment records show Jessie Davis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
0.1 mi
Otolaryngology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1003210808 (801) 587-6336
Faculty Physicians And Surgeons Of Llusm
365 mi
Transplant Surgery
2020 WELLNESS WAY, STE 506
Las Vegas, NV 89106
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1124560214 (909) 558-3636
Cep America - California
454 mi
Emergency Medicine
10121 PINE AVE
Truckee, CA 96161
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1336492446 (530) 587-6011
Santa Ana Physicians Group, PC
544 mi
Emergency Medicine
47111 MONROE ST
Indio, CA 92201
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1831592187 (760) 347-6191
MD Karan Singh Professional Corp
549 mi
Emergency Medicine
600 N HIGHLAND SPRINGS AVE
Banning, CA 92220
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1932964962 (951) 845-1121

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
202 services179 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
159 services156 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
98 services93 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
73 services69 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELSEY ANDERSON MD
Internal Medicine (Hospice and Palliative Medicine)
30 N MARIO CAPECCHI DR RM 2S200
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7822
DR. CALLIE MARIE THOMPSON M.D.
Internal Medicine (Hospice and Palliative Medicine)
30 N MARIO CAPECCHI DR RM 2S200
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
NICHOLAS GEORGE NASSER MD
Internal Medicine (Hospice and Palliative Medicine)
30 N MARIO CAPECCHI DR RM 2S200
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7822

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 Jessie Davis's NPI number?

The NPI number for Jessie Davis is 1780119412. It was assigned to this individual provider in the NPPES registry on May 1, 2017. The provider is also known as Jessie Navarra Do.

Where is Jessie Davis located?

Jessie Davis practices at 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112. The listed phone number is (801) 581-7822.

What is Jessie Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Jessie Davis enrolled in Medicare?

Yes. Jessie 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.

Which organizations bill Medicare for Jessie Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Davis reassigns Medicare benefits to 5 organizations: University Of Utah Adult Services (Salt Lake City, UT), Faculty Physicians And Surgeons Of Llusm (Las Vegas, NV), Cep America - California (Truckee, CA), Santa Ana Physicians Group, PC (Indio, CA) and MD Karan Singh Professional Corp (Banning, CA). 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 Jessie 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 Jessie Davis was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.