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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY DAWN DAVIS FNP
NPI 1881433233
Nurse Practitioner in Belleville, IL

Active since May 23, 2024PECOS Enrolled
4550 MEMORIAL DR STE 280, BELLEVILLE, IL 62226(618) 767-3235(618) 234-6156 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Jun 19, 2024 (2 updates tracked since 2024).

About Kimberly Dawn Davis Fnp NPPES

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

KIMBERLY DAWN DAVIS FNP (NPI 1881433233) is an individual nurse practitioner in Belleville, Illinois, licensed in Illinois (209029711) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beckemeyer, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881433233
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY DAWN DAVISCredential: FNP
Location Address4550 MEMORIAL DR STE 280Belleville, IL 62226-5372
Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (618) 767-3235 · Fax (618) 234-6156
Phone(618) 767-3235
Fax(618) 234-6156
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2024
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1881433233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209029711
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.029711 (IL)
4550 MEMORIAL DR STE 280, Belleville, IL 62226
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Secondary Practice Location 1

Location 1291 E 2nd StBeckemeyer, IL 62219-4202 · Phone (618) 484-9030

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

Kimberly Dawn Davis Fnp 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 ID8325580822
PECOS Enrollment IDI20240612002164
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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
353 services167 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
298 services67 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
51 services49 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
32 services13 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
19 services11 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 12

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

COURTNEY BARLOW NP
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
St. Clair County (618) 767-3235
DR. RICHARD JAY HEHMANN M.D.
Plastic Surgery
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
St. Clair County (618) 767-3235
SHABNAM DARBARI MD
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
St. Clair County (618) 767-3235
MRS. CYNTHIA M WHITCHER NP
Nurse Practitioner (Acute Care)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
St. Clair County (618) 767-3235
MS. REBECCA LYN CARPENTER ANP
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
St. Clair County (618) 767-3235
TAYLOR RENO FNP-C
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
St. Clair County (618) 767-3235
DR. ROUBA G GHOUSSOUB M.D.
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
St. Clair County (618) 767-3235
DR. SANDEEP KUMAR WALIA M.D.
Internal Medicine (Gastroenterology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
St. Clair County (618) 767-3235

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 Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1881433233. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Kimberly Davis located?

Kimberly Davis practices at 4550 Memorial Dr Ste 280, Belleville, IL 62226. The listed phone number is (618) 767-3235.

What is Kimberly Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Davis enrolled in Medicare?

Yes. Kimberly 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.

When was this NPI record last updated?

The NPPES record for Kimberly Davis was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.