JEWEL WALTERS-DAVIS MSN, APRN, PMHNP-BC
NPI 1811679160
Nurse Practitioner - Psychiatric/Mental Health in Stamford, CT

Active since August 07, 2023PECOS EnrolledAccepts Medicare Assignment
243 TRESSER BLVD FL 17, STAMFORD, CT 06901(860) 756-0455 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2026, May 29, 2026, Oct 31, 2023 and 1 more (4 updates tracked since 2023).

About Jewel Walters-davis Msn, Aprn, Pmhnp-bc NPPES

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

JEWEL WALTERS-DAVIS MSN, APRN, PMHNP-BC (NPI 1811679160) is an individual psychiatric/mental health provider in Stamford, Connecticut, licensed in Connecticut (12361) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Yalesville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811679160
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEWEL WALTERS-DAVISCredential: MSN, APRN, PMHNP-BC
Location Address243 TRESSER BLVD FL 17Stamford, CT 06901-3436
Mailing Address110 Osborn AveNew Haven, CT 06511-2804 · (203) 999-0135
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 7, 2023
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1811679160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 12361
Also ListedRegistered NurseTaxonomy 163W00000X · License 128640 (CT)
243 TRESSER BLVD FL 17, Stamford, CT 06901

Secondary Practice Location 1

Location 1300 Church St Ste 302Yalesville, CT 06492-2253 · Phone (860) 421-6829

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

Jewel Walters-davis Msn, Aprn, Pmhnp-bc 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 ID3476099532
PECOS Enrollment IDI20240724004305
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 Jewel Walters-davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
106 DEEPWOOD DR
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • 22 clinicians in this Medicare group
Addiction Psychiatry
2275 SILAS DEANE HWY
Rocky Hill, CT 06067
  • Reassigned Medicare billing, Connecticut enrollment
  • 9 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06901 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Counselor (Mental Health)
243 TRESSER BLVD FL 17
STAMFORD, CT 06901
Psychiatry & Neurology (Psychiatry)
243 TRESSER BLVD FL 17
STAMFORD, CT 06901
Speech-Language Pathologist
243 TRESSER BLVD FL 17
STAMFORD, CT 06901
Nurse Practitioner (Psychiatric/Mental Health)
243 TRESSER BLVD FL 17
STAMFORD, CT 06901

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 Jewel Walters-davis's NPI number?

The NPI number for Jewel Walters-davis is 1811679160. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Jewel Walters-davis located?

Jewel Walters-davis practices at 243 Tresser Blvd Fl 17, Stamford, CT 06901. The listed phone number is (860) 756-0455.

What is Jewel Walters-davis's specialty?

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

Is Jewel Walters-davis enrolled in Medicare?

Yes. Jewel Walters-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 Jewel Walters-davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jewel Walters-davis reassigns Medicare benefits to 2 organizations: Cornerstone Counseling Center (Waterbury, CT) and Central Connecticut Behavioral Health LLC (Rocky Hill, CT). 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 Jewel Walters-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 Jewel Walters-davis was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.