1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Nurse Practitioner
  6. NPI Profile

KEITHA DAVIS APRN, FNP-BC, FPA
NPI 1922516723
Nurse Practitioner in Chicago, IL

Active since January 14, 2018PECOS EnrolledAccepts Medicare Assignment
1009 S WOOD ST FL 2, CHICAGO, IL 60612(312) 996-2779(312) 355-2983 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2025, Dec 4, 2023, Apr 14, 2022 and 2 more (5 updates tracked since 2018).

About Keitha Davis Aprn, Fnp-bc, Fpa NPPES

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

KEITHA DAVIS APRN, FNP-BC, FPA (NPI 1922516723) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (277001627) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922516723
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKEITHA DAVISCredential: APRN, FNP-BC, FPA
Location Address1009 S WOOD ST FL 2Chicago, IL 60612-3747
Mailing Address1009 S Wood St Fl 2Chicago, IL 60612-3747 · (312) 996-2779 · Fax (312) 355-2983
Phone(312) 996-2779
Fax(312) 355-2983
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 14, 2018
Last NPPES UpdateApril 10, 20255 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1922516723 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 · 277001627
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 277001627 (IL)
1009 S WOOD ST FL 2, Chicago, IL 60612
Open in Google Maps ↗

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

Keitha Davis Aprn, Fnp-bc, Fpa 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 ID8628330115
PECOS Enrollment IDI20180321001057
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.

Medicare Billing Reassignment

Medicare enrollment records show Keitha Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
0.2 mi
Urology
820 S WOOD ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 17 clinicians in this Medicare group
NPI 1760601892 (312) 996-2779

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 3

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.
95 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
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.
25 services20 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers12 claims1,080 services$1.61 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

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

STEPHANIE ENNETTE JEFFRIES DNP, RN
Registered Nurse
1009 S WOOD ST FL 2
CHICAGO, IL 60612
Cook County (312) 996-4328

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 Keitha Davis's NPI number?

The NPI number for Keitha Davis is 1922516723. It was assigned to this individual provider in the NPPES registry on January 14, 2018.

Where is Keitha Davis located?

Keitha Davis practices at 1009 S Wood St Fl 2, Chicago, IL 60612. The listed phone number is (312) 996-2779.

What is Keitha Davis's specialty?

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

Is Keitha Davis enrolled in Medicare?

Yes. Keitha 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 organization bills Medicare for Keitha Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keitha Davis reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The 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 Keitha Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keitha Davis affiliated with any hospitals?

According to CMS data, Keitha Davis is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Keitha Davis was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.