JASON A DAVISON NP-C
NPI 1871867465
Nurse Practitioner - Adult Health in Mount Vernon, IL

Active since February 29, 2012PECOS EnrolledAccepts Medicare Assignment
2 GOOD SAMARITAN WAY, SUITE 220, MOUNT VERNON, IL 62864(618) 899-3900 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason A Davison Np-c NPPES

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

JASON A DAVISON NP-C (NPI 1871867465) is an individual adult health provider in Mount Vernon, Illinois, licensed in Illinois (209009423) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1871867465
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJASON A DAVISONCredential: NP-C
Location Address2 GOOD SAMARITAN WAY, SUITE 220Mount Vernon, IL 62864-2408
Mailing Address2 Good Samaritan Way, Suite 220Mount Vernon, IL 62864-2408 · (618) 899-3900
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 29, 2012
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
NPI 1871867465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 209009423
2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

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

Jason A Davison Np-c 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 ID8325208093
PECOS Enrollment IDI20120404000743
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.

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
900 services522 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
409 services409 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
333 services236 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
86 services72 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
63 services53 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services46 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Washington County Hospital

Critical Access Hospitals · Nashville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141308
Location705 S Grand AveNashville, IL 62263 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers56 claims111 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims20 services$1.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers19 claims19 services$46.26 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers15 claims15 services$117.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers16 claims40 services$44.65 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers15 claims15 services$25.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Sleep Medicine)
2 GOOD SAMARITAN WAY, SUITE 400
MOUNT VERNON, IL 62864
Nurse Anesthetist, Certified Registered
2 GOOD SAMARITAN WAY, SUITE 205
MOUNT VERNON, IL 62864
Internal Medicine
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Otolaryngology
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Surgery (Plastic and Reconstructive Surgery)
2 GOOD SAMARITAN WAY, SUITE 235
MOUNT VERNON, IL 62864
Pharmacist
2 GOOD SAMARITAN WAY, SUITE 120
MOUNT VERNON, IL 62864
Internal Medicine
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Occupational Therapy Assistant
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

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 Jason Davison's NPI number?

The NPI number for Jason Davison is 1871867465. It was assigned to this individual provider in the NPPES registry on February 29, 2012.

Where is Jason Davison located?

Jason Davison practices at 2 Good Samaritan Way Suite 220, Mount Vernon, IL 62864. The listed phone number is (618) 899-3900.

What is Jason Davison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jason Davison enrolled in Medicare?

Yes. Jason Davison 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 Jason Davison affiliated with any hospitals?

According to CMS data, Jason Davison is affiliated with Herrin Hospital, Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Crossroads Community Hospital and Washington County Hospital.

When was this NPI record last updated?

The NPPES record for Jason Davison was last updated on October 29, 2020. 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.