DAVID WAYNE DAVIS – Family Nurse Practitioner, NPI 1134609704

DAVID WAYNE DAVIS is a healthcare provider. based in Live oak, Florida. specializing in Family Nurse Practitioner. They hold a License No. 9384698 (FL). The NPI Number for DAVID WAYNE DAVIS is 1134609704

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DAVID WAYNE DAVIS
NPI
1134609704
Phone
(386) 364-1751
Address
211 RANCHERA ST. NW
Enumeration Date
14 August 2018
Last Update Date
23 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3863641751
Graduation Year
2018 (8 years ago)
PAC ID
1658615893
Group Practice PAC ID
2365359387
Professional Enrollment ID
I20181129000921
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for DAVID WAYNE DAVIS

  • 211 RANCHERA ST. NW

    LIVE OAK, FL 320648463

    Phone: (386) 364-1751

    Fax: (386) 364-1761

    Type: Location

  • Northwest County Road 236, High Springs, Alachua County, Florida, 32643-6902, United States

    HIGH SPRINGS, FL 326439669

    Phone: (386) 365-0809

    Type: Mailing

  • 238 SW CULLEN AVE

    FORT WHITE, FL 320383536

    Phone: (386) 497-1397

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($111).

Total Amount

$270

General + Research + Ownership

Payments

10

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2018-11-29

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
I20181129000921INurse PractitionerFLTBD

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 minutes9637$0
99213Established patient office or other outpatient visit, 20-29 minutes5734$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
36415Insertion of needle into vein for collection of blood sample2418$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 32064)

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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: 2365359387View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID WAYNE DAVIS?
DAVID WAYNE DAVIS — NPI 1134609704 — is the standard way to identify this listing.
Is DAVID WAYNE DAVIS still practicing?
DAVID WAYNE DAVIS is currently listed as active in the public NPI registry.
What healthcare role does DAVID WAYNE DAVIS hold?
Scheduling teams often label DAVID WAYNE DAVIS under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does DAVID WAYNE DAVIS serve?
DAVID WAYNE DAVIS's listing highlights Live Oak, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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