STEPHANIE DAVIS – Certified Registered Nurse Anesthetist, NPI 1336504372

STEPHANIE DAVIS is a healthcare provider. based in Jacksonville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 9359074 (FL). The NPI Number for STEPHANIE DAVIS is 1336504372

Main info

Female
Sole Proprietor
11 Years Of Experience
Name
STEPHANIE DAVIS
NPI
1336504372
Phone
Not provided
Address
1238 FREDERICA PL
Enumeration Date
17 December 2015
Last Update Date
9 February 2017

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
9045935093
Graduation Year
2015 (11 years ago)
PAC ID
4284931825
Group Practice PAC ID
8527312800
Professional Enrollment ID
I20160328001167
Address ID
FL322242209JA4796XBLVD303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for STEPHANIE DAVIS

  • 1238 FREDERICA PL

    JACKSONVILLE, FL 322057604

    Phone:

    Type: Mailing

  • 11 BONITA DR

    PONTE VEDRA BEACH, FL 320822008

    Phone: (443) 955-4917

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($79).

Total Amount

$79

General + Research + Ownership

Payments

3

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-03-28

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
I20160328001167ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance3229$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1615$0
00142Anesthesia for lens surgery1512$0
01992Anesthesia for nerve block and injection procedure, prone position1515$0
View full utilization report →

Insurance plans in this area (ZIP 32205)

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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: 8527312800View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is the standard ID for STEPHANIE DAVIS in the U.S.?
In the U.S., STEPHANIE DAVIS is identified by NPI 1336504372.
Is STEPHANIE DAVIS currently accepting referrals based on NPI status?
Registry metadata lists STEPHANIE DAVIS as active.
What services align with STEPHANIE DAVIS's listing?
STEPHANIE DAVIS's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to STEPHANIE DAVIS?
The directory associates STEPHANIE DAVIS with Jacksonville, Florida. Check all listed addresses for suites or satellite offices.
Can I export STEPHANIE DAVIS's record?
You can download the official NPPES record; we summarize key fields for readability.

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