NICOLE DAVIS MS, RDN, LDN
NPI 1871975938
Dietitian, Registered in Ozark, IL

Q: What is Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1871975938. It was assigned to this individual provider in the NPPES registry on June 25, 2015. The provider is also known as Nicole Lence.

Q: What is Nicole Davis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Davis was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 25, 2015Accepts Medicare Assignment

350 ZACH LN, OZARK, IL 62972(618) 889-9570 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Sep 26, 2022 (2 updates tracked since 2022).

On this page

About Nicole Davis Ms, Rdn, Ldn NPPES

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

NICOLE DAVIS MS, RDN, LDN (NPI 1871975938) is an individual dietitian, registered in Ozark, Illinois, licensed in Illinois (164.006153) and active in the NPI registry since June 2015. She maintains 2 additional practice locations and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871975938

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameNICOLE DAVISCredential: MS, RDN, LDN

Location Address350 ZACH LNOzark, IL 62972-1119

Mailing Address350 Zach LnOzark, IL 62972-1119 · (618) 889-9570

Phone(618) 889-9570

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 25, 2015

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1871975938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164.006153

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

350 ZACH LN, Ozark, IL 62972

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Other Names 1

Former Name (1)Nicole Lence

Secondary Practice Locations 2

Location 11006 S Division StCarterville, IL 62918-1539 · Phone (618) 519-9200 · Fax (618) 985-3774

Location 2300 Red Bud LnVienna, IL 62995-1792 · Phone (618) 658-3079 · Fax (618) 658-2759

Other Identifiers 1

Other1065198Commission On Dietetic Registration

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

Nicole Davis Ms, Rdn, Ldn 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 ID4688980808

PECOS Enrollment IDI20150903000256

Medicare Billing Reassignments

Medicare enrollment records show Nicole Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shawnee Health Service And Development Corp

8.2 mi

Federally Qualified Health Center (FQHC)

15470 LAKE OF EGYPT RD
Creal Springs, IL 62922

Reassigned Medicare billing, Illinois enrollment
52 clinicians in this Medicare group

NPI 1013620160 (618) 519-9200

Arrowleaf

27 mi

Mental Health (Including Community Mental Health Center)

125 NORTH MARKET STREET
Golconda, IL 62938

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1538114608 (618) 683-2461

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 62972 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

$0.00 typical visit price

range $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

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.

Other Providers at the Same Location NPPES

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

AKASHA WELLNESS

Clinic/Center

350 ZACH LN
OZARK, IL 62972

Johnson County (618) 889-9570

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 Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1871975938. It was assigned to this individual provider in the NPPES registry on June 25, 2015. The provider is also known as Nicole Lence.

Where is Nicole Davis located?

Nicole Davis practices at 350 Zach Ln, Ozark, IL 62972. The listed phone number is (618) 889-9570.

What is Nicole Davis's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Nicole Davis enrolled in Medicare?

Yes. Nicole 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 Nicole Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Davis reassigns Medicare benefits to 2 organizations: Shawnee Health Service And Development Corp (Creal Springs, IL) and Arrowleaf (Golconda, IL). 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 Nicole Davis'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 Nicole Davis was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.