ANGELINE MARIE DAVIS CRNA
NPI 1871058008
Nurse Anesthetist, Certified Registered in South Boston, VA
About Angeline Marie Davis Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELINE MARIE DAVIS CRNA (NPI 1871058008) is an individual nurse anesthetist, certified registered in South Boston, Virginia, licensed in South Carolina (124554) and active in the NPI registry since February 2019. She is affiliated with Twin County Regional Hospital and is a graduate of Medical University Of South Carolina College Of Medicine (2018).
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
Angeline Marie Davis Crna 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 Reassignments
3Medicare enrollment records show Angeline Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Boston, VA 24592
- Reassigned Medicare billing, Virginia enrollment
- 82 clinicians in this Medicare group
Virginia Beach, VA 23456
- Reassigned Medicare billing, Virginia enrollment
- 707 clinicians in this Medicare group
Richardson, TX 75082
- Reassigned Medicare billing, Virginia enrollment
- 210 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Twin County Regional Hospital
Acute Care Hospitals · Galax, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24592 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SOUTH BOSTON, VA 24592
SOUTH BOSTON, VA 24592
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 Angeline Davis's NPI number?
The NPI number for Angeline Davis is 1871058008. It was assigned to this individual provider in the NPPES registry on February 1, 2019.
Where is Angeline Davis located?
Angeline Davis practices at 2204 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3100.
What is Angeline Davis's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Angeline Davis enrolled in Medicare?
Yes. Angeline 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 Angeline Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angeline Davis reassigns Medicare benefits to 3 organizations: Dominion Health Medical Assoc (South Boston, VA), Smg Anesthesia Specialists LLC (Virginia Beach, VA) and Medstream Anesthesia PLLC (Richardson, TX). 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 Angeline Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Angeline Davis affiliated with any hospitals?
According to CMS data, Angeline Davis is affiliated with Twin County Regional Hospital.
When was this NPI record last updated?
The NPPES record for Angeline Davis was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Angeline Marie Davis, CRNA · NPI 1871058008
Nurse Anesthetist, Certified Registered physician in South Boston, Virginia. Individual provider, active in the CMS NPPES registry since February 1, 2019.
## Identity
- **NPI:** 1871058008 (Entity type: Individual)
- **Enumerated:** February 1, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 124554 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2204 WILBORN AVE, South Boston, VA 24592-1645
- **Phone:** (434) 517-3100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dominion Health Medical Assoc (NPI 1356138879, South Boston, VA); Smg Anesthesia Specialists LLC (NPI 1518205004, Virginia Beach, VA); Medstream Anesthesia PLLC (NPI 1649616160, Richardson, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** January 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1871058008) · Data from the CMS NPPES public registry.