AMANDA BLAKE DAVIS APRN
NPI 1790220143
Nurse Practitioner - Family in Fort Smith, AR

Q: What is Amanda Davis's NPI number?

The NPI number for Amanda Davis is 1790220143. It was assigned to this individual provider in the NPPES registry on December 21, 2016. The provider is also known as Amanda Richard.

Q: What is Amanda Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Davis was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 21, 2016PECOS EnrolledAccepts Medicare Assignment

3416 OLD GREENWOOD RD, FORT SMITH, AR 72903(479) 242-2888(479) 242-2889 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2023, Jul 26, 2018, Dec 21, 2016 (3 updates tracked since 2016).

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About Amanda Blake Davis Aprn NPPES

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

AMANDA BLAKE DAVIS APRN (NPI 1790220143) is an individual family provider in Fort Smith, Arkansas, licensed in Arkansas (A0053338) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790220143

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA BLAKE DAVISCredential: APRN

Location Address3416 OLD GREENWOOD RDFort Smith, AR 72903-5462

Mailing Address2125 Parkridge DrVan Buren, AR 72956-7491 · (479) 226-0979 · Fax (479) 242-2889

Phone(479) 242-2888

Fax(479) 242-2889

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 21, 2016

Last NPPES UpdateMay 9, 20233 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1790220143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AR · A0053338✔ Licensed in OK · 118856

3416 OLD GREENWOOD RD, Fort Smith, AR 72903

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Other Names 1

Former Name (1)Amanda Richard

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Amanda Blake Davis Aprn 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 ID6002199882

PECOS Enrollment IDI20180530001861

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 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 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.

338 services180 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

82 services82 patients

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.

34 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims18 services$16.94 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier34 claims34 services$917.49 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier17 claims17 services$90.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

JOANN MAHAN APRN

Nurse Practitioner (Family)

3416 OLD GREENWOOD RD
FORT SMITH, AR 72903

Sebastian County (479) 242-2888

ARKANSAS LIVER AND GASTROENTEROLOGY

Pharmacy

3416 OLD GREENWOOD RD, SUITE A
FORT SMITH, AR 72903

Sebastian County (479) 242-2894

DR. JAMES T HOWELL MD

Allergy & Immunology

3416 OLD GREENWOOD RD
FORT SMITH, AR 72903

Sebastian County (479) 452-2077

HERRAKA LLC

Pharmacist

3416 OLD GREENWOOD RD
FORT SMITH, AR 72903

Sebastian County (479) 242-2888

SOUTHSIDE SPECIALTY PHARMACY

Pharmacy (Specialty Pharmacy)

3416 OLD GREENWOOD RD, SUITE A
FORT SMITH, AR 72903

Sebastian County (479) 242-2888

ARKANSAS LIVER AND GASTROENTEROLOGY PA

Clinic/Center

3416 OLD GREENWOOD RD
FORT SMITH, AR 72903

Sebastian County (479) 242-2888

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 Amanda Davis's NPI number?

The NPI number for Amanda Davis is 1790220143. It was assigned to this individual provider in the NPPES registry on December 21, 2016. The provider is also known as Amanda Richard.

Where is Amanda Davis located?

Amanda Davis practices at 3416 Old Greenwood Rd, Fort Smith, AR 72903. The listed phone number is (479) 242-2888.

What is Amanda Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Davis enrolled in Medicare?

Yes. Amanda 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 Amanda Davis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Amanda 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 Amanda Davis was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.