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RUSSELL DAVIS
NPI 1982148581
Nurse Practitioner - Family in Tooele, UT

Active since December 15, 2016PECOS Enrolled
1887 AARON DR STE B, TOOELE, UT 84074(435) 775-9969 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2018, Dec 15, 2016 (2 updates tracked since 2016).

About Russell Davis NPPES

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

RUSSELL DAVIS (NPI 1982148581) is an individual family provider in Tooele, Utah, licensed in Utah (4988445-4405) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982148581
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRUSSELL DAVIS
Location Address1887 AARON DR STE BTooele, UT 84074-8138
Mailing Address1887 N Aaron Dr, Suite BTooele, UT 84074 · (435) 775-9969
Phone(435) 775-9969
Sole ProprietorYes
Enumeration DateDecember 15, 2016
Last NPPES UpdateJuly 20, 20182 updates tracked since enumeration
✔ NPI 1982148581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 4988445-4405
1887 AARON DR STE B, Tooele, UT 84074
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84074 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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

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

TOOELE CLINIC CORP
Family Medicine
1887 AARON DR STE B
TOOELE, UT 84074
Tooele County (435) 775-9973

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 Russell Davis's NPI number?

The NPI number for Russell Davis is 1982148581. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Where is Russell Davis located?

Russell Davis practices at 1887 Aaron Dr Ste B, Tooele, UT 84074. The listed phone number is (435) 775-9969.

What is Russell Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Russell Davis enrolled in Medicare?

Yes. Russell Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Davis was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.