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NICOLE JOLIE DAVIS
NPI 1942984190
Social Worker - Clinical in Las Vegas, NV

Active since June 09, 2023PECOS EnrolledAccepts Medicare Assignment
6679 CONQUISTADOR ST, LAS VEGAS, NV 89149(702) 371-0706 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2026, Jun 9, 2023 (2 updates tracked since 2023).

About Nicole Jolie Davis NPPES

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

NICOLE JOLIE DAVIS (NPI 1942984190) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (12934-C) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942984190
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE JOLIE DAVIS
Location Address6679 CONQUISTADOR STLas Vegas, NV 89149-1324
Mailing Address6679 Conquistador StLas Vegas, NV 89149-1324 · (702) 371-0706
Phone(702) 371-0706
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 9, 2023
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1942984190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NV · 12934-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6679 CONQUISTADOR ST, Las Vegas, NV 89149
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Other Names 1

Former Name (1)Nicole Jolie Gagnon

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 Jolie Davis 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 ID5597245332
PECOS Enrollment IDI20260219001103
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 Nicole Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medtrans Reno Casal, PLLC
332 mi
Family Medicine
890 MILL ST FL 4
Reno, NV 89502
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Medtrans Behavioral Nevada Casal PLLC
  • 65 clinicians in this Medicare group
NPI 1790236180 (775) 538-6700

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 89149 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 $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 1942984190. It was assigned to this individual provider in the NPPES registry on June 9, 2023. The provider is also known as Nicole Jolie Gagnon.

Where is Nicole Davis located?

Nicole Davis practices at 6679 Conquistador St, Las Vegas, NV 89149. The listed phone number is (702) 371-0706.

What is Nicole Davis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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 organization bills Medicare for Nicole Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Davis reassigns Medicare benefits to Medtrans Reno Casal, PLLC (Reno, NV). 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 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 2, 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.