KENNETH CHARLES JR. DAVES – Family Nurse Practitioner, NPI 1295474278

KENNETH CHARLES JR. DAVES is a healthcare provider. based in Fort collins, Colorado. specializing in NURSE PRACTITIONER. They hold a License No. APN.0997759-NP (CO). The NPI Number for KENNETH CHARLES JR. DAVES is 1295474278

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH CHARLES JR. DAVES
NPI
1295474278
Phone
(662) 299-1982
Address
2638 SAGEBRUSH DR
Enumeration Date
31 May 2022
Last Update Date
9 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9704937733
Graduation Year
2022 (4 years ago)
PAC ID
7214313378
Group Practice PAC ID
7315914405
Professional Enrollment ID
I20220928000256
Address ID
CO805255744FO3351XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for KENNETH CHARLES JR. DAVES

  • 2638 SAGEBRUSH DR

    FORT COLLINS, CO 805252458

    Phone: (662) 299-1982

    Type: Mailing

  • 1600 SPECHT POINT RD STE 127

    FORT COLLINS, CO 805254311

    Phone: (970) 493-7733

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Horizon Therapeutics plc ($147).

Total Amount

$147

General + Research + Ownership

Payments

8

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Horizon Therapeutics plc$147
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: 2022-09-28

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
I20220928000256INurse PractitionerCOTBD

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 minutes4438$0
99215Established patient office or other outpatient visit, 40-54 minutes1411$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)1211$0
90962Dialysis services, 1 physician visit per month (20 years or older)1211$0
View full utilization report →

Insurance plans in this area (ZIP 80525)

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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: 7315914405View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCO
Nephrology, Internal MedicineCO
Nephrology, Internal MedicineCO
N E P H R O L O G YCO
Nurse PractitionerCO
Physician AssistantCO
Nephrology, Internal MedicineCO
N E P H R O L O G YPA
N E P H R O L O G YNY
Nurse PractitionerCO

Reviews

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Frequently asked questions

Where can patients find KENNETH CHARLES JR. DAVES's NPI?
You can confirm KENNETH CHARLES JR. DAVES with NPI 1295474278; it appears in the national provider directory.
Is KENNETH CHARLES JR. DAVES's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KENNETH CHARLES JR. DAVES work in?
You can think of KENNETH CHARLES JR. DAVES as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for KENNETH CHARLES JR. DAVES?
We surface Fort Collins, Colorado for KENNETH CHARLES JR. DAVES based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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