NATHAN JIM DAVIS CRNA
NPI 1972828788
Nurse Anesthetist, Certified Registered in Grand Rapids, MN

Active since April 05, 2010Accepts Medicare Assignment
90.32/100
CMS Quality Rating
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744(218) 326-3401 Get Directions Write a Review

NPPES record last updated: April 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nathan Jim Davis Crna NPPES

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

NATHAN JIM DAVIS CRNA (NPI 1972828788) is an individual nurse anesthetist, certified registered in Grand Rapids, Minnesota, licensed in Minnesota (083824) and active in the NPI registry since April 2010. He is affiliated with Grand Itasca Clinic And Hospital and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972828788
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNATHAN JIM DAVISCredential: CRNA
Location Address1601 GOLF COURSE RDGrand Rapids, MN 55744-8648
Mailing Address1601 Golf Course RdGrand Rapids, MN 55744-8648
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 5, 2010
NPI 1972828788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MN · 083824
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License R 164799-6 (MN)
1601 GOLF COURSE RD, Grand Rapids, MN 55744

Accepted Insurance

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

Nathan Jim Davis Crna 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 ID8729119672
PECOS Enrollment IDI20100622000234

Areas of Expertise CMS Part B claims

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240064
Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55744 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.18
Promoting Interoperability100
Improvement Activities40
Cost65.92

Other Providers at the Same Location NPPES 20

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

Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Internal Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Internal Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Chiropractor
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Internal Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744

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 Nathan Davis's NPI number?

The NPI number for Nathan Davis is 1972828788. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Nathan Davis located?

Nathan Davis practices at 1601 Golf Course Rd, Grand Rapids, MN 55744. The listed phone number is (218) 326-3401.

What is Nathan Davis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nathan Davis enrolled in Medicare?

Yes. Nathan 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.

What insurance does Nathan Davis accept?

Health plans from Medica list Nathan Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathan Davis affiliated with any hospitals?

According to CMS data, Nathan Davis is affiliated with Grand Itasca Clinic And Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Davis was last updated on April 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.