NICHOLAS DAVIS ACNPC-AG
NPI 1780431007
Nurse Practitioner - Acute Care in Goodyear, AZ

Active since May 03, 2024PECOS EnrolledAccepts Medicare Assignment
1325 N LITCHFIELD RD STE 130, GOODYEAR, AZ 85395(602) 249-8577 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicholas Davis Acnpc-ag NPPES

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

NICHOLAS DAVIS ACNPC-AG (NPI 1780431007) is an individual acute care provider in Goodyear, Arizona, licensed in Arizona (262759) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780431007
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameNICHOLAS DAVISCredential: ACNPC-AG
Location Address1325 N LITCHFIELD RD STE 130Goodyear, AZ 85395-1215
Mailing Address1325 N Litchfield Rd Ste 130Goodyear, AZ 85395-1215 · (602) 249-8577
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1780431007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · 262759
1325 N LITCHFIELD RD STE 130, Goodyear, AZ 85395

Accepted 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

Nicholas Davis Acnpc-ag 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 ID6002352184
PECOS Enrollment IDI20240725000372
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

2

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

Multi-Specialty
1325 N LITCHFIELD RD STE 125
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 267 clinicians in this Medicare group
Internal Medicine
13575 W MCDOWELL RD
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group

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 2

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 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.
56 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 4

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

Internal Medicine (Interventional Cardiology)
1325 N LITCHFIELD RD STE 130
GOODYEAR, AZ 85395
Nurse Practitioner (Critical Care Medicine)
1325 N LITCHFIELD RD STE 130
GOODYEAR, AZ 85395
Nurse Practitioner (Family)
1325 N LITCHFIELD RD STE 130
GOODYEAR, AZ 85395
Internal Medicine (Interventional Cardiology)
1325 N LITCHFIELD RD STE 130
GOODYEAR, AZ 85395

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 Nicholas Davis's NPI number?

The NPI number for Nicholas Davis is 1780431007. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Nicholas Davis located?

Nicholas Davis practices at 1325 N Litchfield Rd Ste 130, Goodyear, AZ 85395. The listed phone number is (602) 249-8577.

What is Nicholas Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicholas Davis enrolled in Medicare?

Yes. Nicholas 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 Nicholas Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Davis reassigns Medicare benefits to 2 organizations: Vhs Outpatient Clinics, Inc. (Goodyear, AZ) and Rabadi Physicians PLLC (Goodyear, AZ). 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 Nicholas Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Davis accept?

Health plans from Antidote Health Plan of Arizona, Inc., Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Nicholas Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Davis was last updated on May 3, 2024. 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.