AVIS ROSE DAVIS DNP, RN, CPNP-PC - NPI 1962122887 - Nurse Practitioner in Phoenix, AZ

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

On this page

About Avis Rose Davis Dnp, Rn, Cpnp-pc NPPES

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

AVIS ROSE DAVIS DNP, RN, CPNP-PC (NPI 1962122887) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (279395) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wasilla, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962122887

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameAVIS ROSE DAVISCredential: DNP, RN, CPNP-PC

Location Address2120 N CENTRAL AVEPhoenix, AZ 85004-1455

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124

Phone(602) 933-6100

Fax(602) 983-3242

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 31, 2022

Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1962122887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · 279395

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 279395 (AZ)

2120 N CENTRAL AVE, Phoenix, AZ 85004

Open in Google Maps ↗

Secondary Practice Location 1

Location 11021 N Lucille StWasilla, AK 99654-6405 · Phone (907) 357-5157 · Fax (907) 357-5159

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

Avis Rose Davis Dnp, Rn, Cpnp-pc 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 ID7113418534

PECOS Enrollment IDI20251113003125

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 85004 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.