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MS. SALLY MILLER DAVIDSON N.P.
NPI 1780732479
Nurse Practitioner - Primary Care in Riverside, RI

Active since January 08, 2007Opted out of Medicare · through Jul 1, 2028
250 WAMPANOAG TRAIL, SUITE 305, RIVERSIDE, RI 02915(401) 270-4541(401) 270-4081 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ms. Sally Miller Davidson N.p. NPPES

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

MS. SALLY MILLER DAVIDSON N.P. (NPI 1780732479) is an individual primary care provider in Riverside, Rhode Island, licensed in Rhode Island (APRN01050) and active in the NPI registry since January 2007. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780732479
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. SALLY MILLER DAVIDSONCredential: N.P.
Location Address250 WAMPANOAG TRAIL, SUITE 305Riverside, RI 02915
Mailing Address250 Wampanoag Trail, Suite 305Riverside, RI 02915 · (401) 270-4541 · Fax (401) 270-4081
Phone(401) 270-4541
Fax(401) 270-4081
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJune 18, 2019
✔ NPI 1780732479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in RI · APRN01050
250 WAMPANOAG TRAIL, Riverside, RI 02915
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Sally Miller Davidson N.p. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

KAREN ANN MORRONE PT LIC DAC
Acupuncturist
250 WAMPANOAG TRAIL, SUITE 301
EAST PROVIDENCE, RI 02915
Providence County (401) 490-2275
LAWRENCE C COBRIN DPM
Podiatrist (Foot & Ankle Surgery)
250 WAMPANOAG TRAIL, SUITE 205 RHODE ISLAND FOOT CARE INC
EAST PROVIDENCE, RI 02915
Providence County (401) 431-0283
CHELSEA SICKEL D.C.
Chiropractor
250 WAMPANOAG TRAIL, SUITE 306
RIVERSIDE, RI 02915
Providence County (401) 223-0111
CUMBERLAND FAMILY EYE CARE, LTD.
Optometrist
250 WAMPANOAG TRAIL, SUITE 304
EAST PROVIDENCE, RI 02915
Providence County (401) 435-5555

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 Sally Davidson's NPI number?

The NPI number for Sally Davidson is 1780732479. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Sally Davidson located?

Sally Davidson practices at 250 Wampanoag Trail Suite 305, Riverside, RI 02915. The listed phone number is (401) 270-4541.

What is Sally Davidson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sally Davidson enrolled in Medicare?

No. Sally Davidson has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sally Davidson was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.