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JASMINE SHAREE DAVIS
NPI 1801764907
Nurse Practitioner - Psychiatric/Mental Health in De Soto, IL

Active since October 29, 2025PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jasmine Sharee Davis NPPES

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

JASMINE SHAREE DAVIS (NPI 1801764907) is an individual psychiatric/mental health provider in De Soto, Illinois, licensed in Illinois (209033596) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801764907
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJASMINE SHAREE DAVIS
Location Address90 JAN LNDe Soto, IL 62924-0059
Mailing Address90 Jan LnDe Soto, IL 62924-0059 · (618) 645-1211
Phone(618) 645-1211
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 29, 2025
Last NPPES UpdateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1801764907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209033596
90 JAN LN, De Soto, IL 62924
Open in Google Maps ↗

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

Jasmine Sharee Davis 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 ID4789149121
PECOS Enrollment IDI20260716003519
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 Reassignment

Medicare enrollment records show Jasmine Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bespoke Psychiatry
295 mi
Psychiatry
1203 W AUGUSTA BLVD STE 1
Chicago, IL 60642
  • Reassigned Medicare billing, Illinois enrollment
  • 56 clinicians in this Medicare group
NPI 1952937104 (773) 248-2255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62924 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Jasmine Davis's NPI number?

The NPI number for Jasmine Davis is 1801764907. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Jasmine Davis located?

Jasmine Davis practices at 90 Jan Ln, De Soto, IL 62924. The listed phone number is (618) 645-1211.

What is Jasmine Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jasmine Davis enrolled in Medicare?

Yes. Jasmine 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 organization bills Medicare for Jasmine Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Davis reassigns Medicare benefits to Bespoke Psychiatry (Chicago, IL). The 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 Jasmine 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 Jasmine Davis was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.