NATHAN JIM DAVIS CRNA
NPI 1972828788
Nurse Anesthetist, Certified Registered in Grand Rapids, MN
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 enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Nathan Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MNPhysician 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.
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.
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.
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
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.
Which organization bills Medicare for Nathan Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Davis reassigns Medicare benefits to Grand Itasca Clinic And Hospital (Grand Rapids, MN). 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 Nathan Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Nathan Jim Davis, CRNA · NPI 1972828788
Nurse Anesthetist, Certified Registered physician in Grand Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since April 5, 2010.
## Identity
- **NPI:** 1972828788 (Entity type: Individual)
- **Enumerated:** April 5, 2010
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 083824 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 GOLF COURSE RD, Grand Rapids, MN 55744-8648
- **Phone:** (218) 326-3401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Grand Itasca Clinic And Hospital (NPI 1669426631, Grand Rapids, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 5, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1972828788) · Data from the CMS NPPES public registry.