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

Q: 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.

Q: What is Nicholas Davis's specialty?

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

Q: 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.

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: August 09, 2026.

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

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

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.

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 3

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

RICHARD PHAM D.O.

Internal Medicine (Interventional Cardiology)

1325 N LITCHFIELD RD STE 130
GOODYEAR, AZ 85395

Maricopa County (623) 204-3954

JULIA ANNE KEMPER FNP-C

Nurse Practitioner (Family)

1325 N LITCHFIELD RD STE 130
GOODYEAR, AZ 85395

Maricopa County (602) 249-8577

DR. JAMES Y KIM MD

Internal Medicine (Interventional Cardiology)

1325 N LITCHFIELD RD STE 130
GOODYEAR, AZ 85395

Maricopa County (602) 249-8577

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.

What insurance does Nicholas Davis accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare 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.