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KATELYN BROOKE DAVIS CPNP-AC
NPI 1982424420
Nurse Practitioner - Pediatrics, Critical Care in Little Rock, AR

Active since October 10, 2024PECOS Enrolled
1 CHILDRENS WAY # 512-12, LITTLE ROCK, AR 72202(501) 364-1341(501) 364-4082 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Oct 10, 2024 (2 updates tracked since 2024).

About Katelyn Brooke Davis Cpnp-ac NPPES

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

KATELYN BROOKE DAVIS CPNP-AC (NPI 1982424420) is an individual pediatrics, critical care provider in Little Rock, Arkansas, licensed in Arkansas (120595) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982424420
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameKATELYN BROOKE DAVISCredential: CPNP-AC
Location Address1 CHILDRENS WAY # 512-12Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-1341
Fax(501) 364-4082
Sole ProprietorNo
Enumeration DateOctober 10, 2024
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1982424420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in AR · 120595
1 CHILDRENS WAY # 512-12, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Brooke Davis Cpnp-ac 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Katelyn Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital
Same address
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
Arkansas Childrens Professional Services Organization LLC
3.4 mi
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526
University Of Arkansas For Medical Sciences
3.4 mi
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1114255353 (501) 364-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 5

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

MEAGAN OLIVIA ROGERS APRN
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 512-12
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1479
DR. JORDAN RAY KAUFMAN MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY # 512-12
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1856
ASHLEY D CROW MSN, CPNP-AC
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 512-12
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1341
DR. RONALD C SANDERS JR. MD
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS WAY # 512-12
LITTLE ROCK, AR 72202
Pulaski County (501) 364-4166
LAUREN EILEEN HOWARD MD, MPH
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS WAY # 512-12
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Katelyn Davis's NPI number?

The NPI number for Katelyn Davis is 1982424420. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Where is Katelyn Davis located?

Katelyn Davis practices at 1 Childrens Way # 512-12, Little Rock, AR 72202. The listed phone number is (501) 364-1341.

What is Katelyn Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Katelyn Davis enrolled in Medicare?

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

Which organizations bill Medicare for Katelyn Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Davis reassigns Medicare benefits to 3 organizations: Arkansas Childrens Hospital (Little Rock, AR), Arkansas Childrens Professional Services Organization LLC (Little Rock, AR) and University Of Arkansas For Medical Sciences (Little Rock, AR). Each 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 Katelyn Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Davis accept?

Health plans from Health Advantage and Octave list Katelyn 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.

When was this NPI record last updated?

The NPPES record for Katelyn Davis was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.