AMANDA ANN DAVIS (NP) – Family Medicine Physician, NPI 1043850795

AMANDA ANN DAVIS (NP) is a healthcare provider. based in Willcox, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 236319 (AZ). The NPI Number for AMANDA ANN DAVIS (NP) is 1043850795

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA ANN DAVIS (NP)
NPI
1043850795
Phone
(520) 766-5000
Address
801 W REX ALLEN DR
Enumeration Date
10 January 2020
Last Update Date
11 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5207665000
Graduation Year
2019 (7 years ago)
PAC ID
8527494079
Group Practice PAC ID
1557445004
Professional Enrollment ID
I20200203000233
Address ID
AZ856431129WI801XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for AMANDA ANN DAVIS (NP)

  • 801 W REX ALLEN DR

    WILLCOX, AZ 856431129

    Phone: (520) 766-5000

    Fax: (520) 766-5001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $455.

Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($151).

Total Amount

$455

General + Research + Ownership

Payments

24

Total payment records

General Amount

$455

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200203000233INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes610162$0
99213Established patient office or other outpatient visit, 20-29 minutes247101$0
G0444Annual depression screening, 5 to 15 minutes129129$0
G0442Annual alcohol misuse screening, 5 to 15 minutes128128$0
J1100Injection, dexamethasone sodium phosphate, 1 mg12811$0
View full utilization report →

Insurance plans in this area (ZIP 85643)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557445004View full group profile
NameSpecialtyState
Family PracticeAZ
Nurse PractitionerAZ
-AZ
Nurse PractitionerAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

How is AMANDA ANN DAVIS (NP) identified in CMS data?
CMS-hosted NPPES data lists AMANDA ANN DAVIS (NP) with NPI 1043850795.
Is AMANDA ANN DAVIS (NP) still practicing?
AMANDA ANN DAVIS (NP) is currently listed as active in the public NPI registry.
What taxonomy line describes AMANDA ANN DAVIS (NP)?
For research purposes, treat AMANDA ANN DAVIS (NP) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is AMANDA ANN DAVIS (NP) based?
AMANDA ANN DAVIS (NP) is tied to Willcox, Arizona in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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