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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARYRSHA DAVIS APN
NPI 1821552761
Nurse Practitioner in Hazel Crest, IL

Active since January 24, 2019PECOS Enrolled
17504 E CARRIAGEWAY DR, HAZEL CREST, IL 60429(312) 636-3722(773) 299-9299 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Dec 4, 2021, Feb 7, 2019 and 1 more (4 updates tracked since 2019).

About Taryrsha Davis Apn NPPES

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

TARYRSHA DAVIS APN (NPI 1821552761) is an individual nurse practitioner in Hazel Crest, Illinois, licensed in Illinois (209.018789) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821552761
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARYRSHA DAVISCredential: APN
Location Address17504 E CARRIAGEWAY DRHazel Crest, IL 60429-2087
Mailing Address17504 E Carriageway DrHazel Crest, IL 60429-2087 · (312) 636-3722 · Fax (773) 299-9299
Phone(312) 636-3722
Fax(773) 299-9299
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 24, 2019
Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1821552761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in IL · 209.018789✔ Licensed in IL · 209.023614
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
17504 E CARRIAGEWAY DR, Hazel Crest, IL 60429
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Other Names 1

Professional Name (2)Ms. Taryrsha Davis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taryrsha Davis Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911246368
PECOS Enrollment IDI20190228002263
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

14

Medicare enrollment records show Taryrsha Davis reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chicagoland Infectious Disease PC
4.9 mi
Infectious Disease
430 E 162ND ST, #487
South Holland, IL 60473
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1780002352 (312) 504-5757
Immediate Home Care Physicians, Inc
11 mi
Family Medicine
10714 S ROBERTS RD STE B
Palos Hills, IL 60465
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1134521917 (815) 616-2906
Immediate Home Care Providers P C
11 mi
Family Medicine
10714 S ROBERTS RD
Palos Hills, IL 60465
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1124824560 (708) 631-1326
At Your Door Physician Care
16 mi
Family Medicine
5525 S EMERALD AVE
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1154901783 (312) 636-3722
Vpa PC
17 mi
Family Medicine
1000 BURR RIDGE PKWY STE 201
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 189 clinicians in this Medicare group
NPI 1629692785 (312) 818-4650
New Southtown Medical Group S C
19 mi
Family Medicine
8205 CASS AVE STE 110B
Darien, IL 60561
  • Reassigned Medicare billing, Illinois enrollment
  • 19 clinicians in this Medicare group
NPI 1134508997 (773) 840-4747
B & a Health Provider LLC
19 mi
Family Medicine
1450 PLAINFIELD RD STE 5
Darien, IL 60561
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1699377200 (708) 846-4972
Unity Hospice Of Chicagoland LLC
20 mi
Hospice Care, Community Based
600 W CERMAK RD STE 3D
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
NPI 1598844474 (312) 427-6000
Midwest Wound Care Incorporated
24 mi
Internal Medicine
1190 LILY CACHE LN APT 103
Bolingbrook, IL 60490
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1538976873 (630) 731-4492
Lutheran Social Services Of Illinois
26 mi
Clinical
544 S CORNELL AVE
Villa Park, IL 60181
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1568688430 (630) 993-0100

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

Areas of Expertise CMS Part B claims 8

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
438 services90 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
316 services44 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
23 services16 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
18 services18 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.
17 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 2

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

MRS. PAMELA ELAINE GEDDES MA
Counselor (Professional)
17504 E CARRIAGEWAY DR, SUITE B
HAZEL CREST, IL 60429
Cook County (708) 799-0300
MS. AISHA SANDERS LCPC
Counselor (Professional)
17504 E CARRIAGEWAY DR, SUITE C
HAZEL CREST, IL 60429
Cook County (708) 799-0300

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 Taryrsha Davis's NPI number?

The NPI number for Taryrsha Davis is 1821552761. It was assigned to this individual provider in the NPPES registry on January 24, 2019. The provider is also known as Ms. Taryrsha Davis.

Where is Taryrsha Davis located?

Taryrsha Davis practices at 17504 E Carriageway Dr, Hazel Crest, IL 60429. The listed phone number is (312) 636-3722.

What is Taryrsha Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Taryrsha Davis enrolled in Medicare?

Yes. Taryrsha Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Taryrsha Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taryrsha Davis reassigns Medicare benefits to 14 organizations: Chicagoland Infectious Disease PC (South Holland, IL), Immediate Home Care Physicians, Inc (Palos Hills, IL), Immediate Home Care Providers P C (Palos Hills, IL), At Your Door Physician Care (Chicago, IL), Vpa PC (Burr Ridge, IL) and 9 more organizations, listed in the Medicare section above. 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 Taryrsha Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taryrsha Davis accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Taryrsha 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.

Is Taryrsha Davis affiliated with any hospitals?

According to CMS data, Taryrsha Davis is affiliated with Osf Little Company Of Mary Medical Center and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Taryrsha Davis was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.