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JESSICA M. DAVIDSON M.D.
NPI 1861620064
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA

Active since June 25, 2009PECOS Enrolled
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 595-5652(215) 923-9519 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica M. Davidson M.d. NPPES

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

JESSICA M. DAVIDSON M.D. (NPI 1861620064) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (ME454991) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861620064
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameJESSICA M. DAVIDSONCredential: M.D.
Location Address111 S 11TH STPhiladelphia, PA 19107-4824
Mailing AddressPo Box 191, Provider Enrollment DepartmentRockland, DE 19732-0191 · (904) 697-5062 · Fax (302) 651-4945
Phone(215) 595-5652
Fax(215) 923-9519
Sole ProprietorNo
Enumeration DateJune 25, 2009
Last NPPES UpdateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1861620064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in PA · ME454991
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 241647 (MA)
111 S 11TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Crocker

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica M. Davidson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jessica Davidson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
557 mi
Clinic/Center
1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1205963105 (435) 716-2800
University Of Utah Pediatric Acuity Care
1,922 mi
Neuromuscular Medicine
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1558723445 (801) 587-6336

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 20

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

NICOLE LYNN RENALDI D.O.
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161
LING FAN
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8304
WILLIAM JUSTICE MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-6000
DR. DAVID P. FRIEDMAN M.D.
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2900
DR. WALTER K. KRAFT M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. TAKI GALANIS M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. STEVEN M LUDWIN M.D.
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6610
JENNIFER L SWOPE CRNA
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

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 Jessica Davidson's NPI number?

The NPI number for Jessica Davidson is 1861620064. It was assigned to this individual provider in the NPPES registry on June 25, 2009. The provider is also known as Jessica Crocker.

Where is Jessica Davidson located?

Jessica Davidson practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 595-5652.

What is Jessica Davidson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jessica Davidson enrolled in Medicare?

Yes. Jessica Davidson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Davidson reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Logan, UT) and University Of Utah Pediatric Acuity Care (Salt Lake City, UT). 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 Jessica Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Davidson accept?

Health plans from Select Health list Jessica Davidson 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.

When was this NPI record last updated?

The NPPES record for Jessica Davidson was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.