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

Active since August 31, 2022PECOS EnrolledAccepts Medicare Assignment
2120 N CENTRAL AVE, PHOENIX, AZ 85004(602) 933-6100(602) 983-3242 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Aug 31, 2022 (2 updates tracked since 2022).

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
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

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.

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.

Counselor (Mental Health)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Counselor
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Pediatrics (Child Abuse Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Community/Behavioral Health
2120 N CENTRAL AVE, SUITE 130
PHOENIX, AZ 85004
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Counselor (Mental Health)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004

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 Avis Davis's NPI number?

The NPI number for Avis Davis is 1962122887. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Avis Davis located?

Avis Davis practices at 2120 N Central Ave, Phoenix, AZ 85004. The listed phone number is (602) 933-6100.

What is Avis Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Avis Davis enrolled in Medicare?

Yes. Avis 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 Avis Davis was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.