MS. CAROLYN CHERIE DAVIS NP - NPI 1922827989 - Nurse Practitioner in Moreno Valley, CA

Q: What is Carolyn Davis's NPI number?

The NPI number for Carolyn Davis is 1922827989. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Q: What is Carolyn Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Davis was last updated on January 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Carolyn Cherie Davis Np NPPES

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

MS. CAROLYN CHERIE DAVIS NP (NPI 1922827989) is an individual acute care provider in Moreno Valley, California, licensed in California (95032354) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922827989

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. CAROLYN CHERIE DAVISCredential: NP

Location Address26520 CACTUS AVE STE A2006Moreno Valley, CA 92555-3927

Mailing Address26520 Cactus Ave Ste A2006Moreno Valley, CA 92555-3927 · (951) 486-4000

Phone(951) 486-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 7, 2024

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1922827989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95032354

26520 CACTUS AVE STE A2006, Moreno Valley, CA 92555

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Secondary Practice Location 1

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3221 · Phone (760) 507-8473 · Fax (760) 507-8316

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

Ms. Carolyn Cherie Davis Np 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 ID5890224513

PECOS Enrollment IDI20250124003191

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92555 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 7

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

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