ANGELINE MARIE DAVIS CRNA
NPI 1871058008
Nurse Anesthetist, Certified Registered in South Boston, VA

Active since February 01, 2019Accepts Medicare Assignment
84.44/100
CMS Quality Rating
2204 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3100 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2020, Feb 1, 2019 (2 updates tracked since 2019).

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

NPI1871058008
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameANGELINE MARIE DAVISCredential: CRNA
Location Address2204 WILBORN AVESouth Boston, VA 24592-1645
Mailing Address3340 Shipley St Apt 1404Ladson, SC 29456-4173 · (804) 339-5260
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2018
Enumeration DateFebruary 1, 2019
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
NPI 1871058008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in SC · 124554
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2204 WILBORN AVE, South Boston, VA 24592

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7911240817
PECOS Enrollment IDI20190516001148

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
30 services30 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 patients

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, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490115
Location200 Hospital DriveGalax, VA 24333 · Galax City County
Emergency services Birthing friendly

Physician 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.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Improvement Activities40
Cost69.53

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.

Skilled Nursing Facility
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Anesthesiology
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Anesthesiology
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Anesthesiology
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Emergency Medicine
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Anesthesiology
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Radiology (Diagnostic Radiology)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Dietitian, Registered
2204 WILBORN AVE
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.

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 with the weekly NPPES data releases published by CMS.