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MISHEDA DAVORA MYLESDAVIS NURSE PRACTITIONER
NPI 1851685101
Nurse Practitioner in Riverside, CA

Active since June 03, 2011PECOS Enrolled
4020 CHICAGO AVE # 2093, RIVERSIDE, CA 92507(951) 546-2578 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Apr 16, 2026 (2 updates tracked since 2026).

About Misheda Davora Mylesdavis Nurse Practitioner NPPES

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

MISHEDA DAVORA MYLESDAVIS NURSE PRACTITIONER (NPI 1851685101) is an individual nurse practitioner in Riverside, California, licensed in California (95038183) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1851685101
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISHEDA DAVORA MYLESDAVISCredential: NURSE PRACTITIONER
Location Address4020 CHICAGO AVE # 2093Riverside, CA 92507-5340
Mailing Address4020 Chicago Ave # 2093Riverside, CA 92507-5340 · (951) 546-2578
Phone(951) 546-2578
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 3, 2011
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1851685101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95038183
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.
4020 CHICAGO AVE # 2093, Riverside, CA 92507
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misheda Davora Mylesdavis Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294205845
PECOS Enrollment IDI20260526001096
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

4

Medicare enrollment records show Misheda Mylesdavis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jessica Wong Nurse Practitioner
38 mi
Nurse Practitioner
15024 IMPERIAL HWY
La Mirada, CA 90638
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1417721770 (714) 457-9905
Wound Away
39 mi
Clinic/Center
14525 VALLEY VIEW AVE STE E
Santa Fe Springs, CA 90670
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1205671773 (714) 457-9905
Minghsun Liu, M.D., PC
61 mi
Infectious Disease
11103 VENICE BLVD
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Minghsun Liu MD PC
  • 95 clinicians in this Medicare group
NPI 1518309368 (954) 923-7440
Wt Health Of California LLC
61 mi
Infectious Disease
11103 VENICE BLVD
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1063201655 (954) 923-7440

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 92507 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 Misheda Mylesdavis's NPI number?

The NPI number for Misheda Mylesdavis is 1851685101. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Misheda Mylesdavis located?

Misheda Mylesdavis practices at 4020 Chicago Ave # 2093, Riverside, CA 92507. The listed phone number is (951) 546-2578.

What is Misheda Mylesdavis's specialty?

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

Is Misheda Mylesdavis enrolled in Medicare?

Yes. Misheda Mylesdavis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Misheda Mylesdavis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misheda Mylesdavis reassigns Medicare benefits to 4 organizations: Jessica Wong Nurse Practitioner (La Mirada, CA), Wound Away (Santa Fe Springs, CA), Minghsun Liu, M.D., PC (Los Angeles, CA) and Wt Health Of California LLC (Los Angeles, CA). 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 Misheda Mylesdavis'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 Misheda Mylesdavis was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.