HAILEY DAVIDSON
NPI 1831054931
Occupational Therapist in Roscommon, MI
About Hailey Davidson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAILEY DAVIDSON (NPI 1831054931) is an individual occupational therapist in Roscommon, Michigan, licensed in Arizona (010249) and active in the NPI registry since December 2025. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Hailey Davidson 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.
Medicare Billing Reassignment
Medicare enrollment records show Hailey Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chandler, AZ 85248
- Reassigned Medicare billing, Arizona enrollment
- 39 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSCOMMON, MI 48653
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 Hailey Davidson's NPI number?
The NPI number for Hailey Davidson is 1831054931. It was assigned to this individual provider in the NPPES registry on December 19, 2025.
Where is Hailey Davidson located?
Hailey Davidson practices at 11051 N Cut Rd, Roscommon, MI 48653. The listed phone number is (480) 590-6921.
What is Hailey Davidson's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Hailey Davidson enrolled in Medicare?
Yes. Hailey Davidson 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 Hailey Davidson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hailey Davidson reassigns Medicare benefits to Legacy Healthcare Services Inc (Chandler, AZ). 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 Hailey Davidson'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 Hailey Davidson was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.