GRACE ELLEN DAVIS (APRN) – Family Nurse Practitioner, NPI 1376181057

GRACE ELLEN DAVIS (APRN) is a healthcare provider. based in Edgewater, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 236330 (SC). The NPI Number for GRACE ELLEN DAVIS (APRN) is 1376181057

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
GRACE ELLEN DAVIS (APRN)
NPI
1376181057
Phone
(386) 428-4640
Address
2984 S RIDGEWOOD AVE STE A
Enumeration Date
13 December 2019
Last Update Date
9 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072997333
Graduation Year
2019 (7 years ago)
PAC ID
7416384045
Group Practice PAC ID
1254233786
Professional Enrollment ID
I20200220002598
Address ID
FL328061051OR100XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for GRACE ELLEN DAVIS (APRN)

  • 2984 S RIDGEWOOD AVE STE A

    EDGEWATER, FL 321417515

    Phone: (386) 428-4640

    Type: Location

  • 120 E King St

    Orlando, FL 328044508

    Phone: (407) 284-9496

    Type: Location

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 $439.

Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($215).

Total Amount

$439

General + Research + Ownership

Payments

10

Total payment records

General Amount

$439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2020-02-20

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
I20200220002598INurse 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
17003Destruction of precancer skin growth, 2-14 growths4912$0
99213Established patient office or other outpatient visit, 20-29 minutes2218$0
17000Destruction of precancer skin growth, 1 growth1915$0
17110Destruction of skin growth, 1-14 growths1311$0
View full utilization report →

Insurance plans in this area (ZIP 32141)

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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: 1254233786View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Plastic And Reconstructive SurgeryFL
A L L E R G Y/ I M M U N O L O G YFL
D E R M A T O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
Plastic And Reconstructive Surgery, OtolaryngologyFL
Family Practice, DermatologyTX

Reviews

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Frequently asked questions

What number should I use to identify GRACE ELLEN DAVIS (APRN) for billing?
Administrative and clinical systems typically use NPI 1376181057 for GRACE ELLEN DAVIS (APRN).
Should I treat GRACE ELLEN DAVIS (APRN) as an active provider?
Patients and plans typically see GRACE ELLEN DAVIS (APRN) as active in the national extract.
What type of care does GRACE ELLEN DAVIS (APRN) provide?
GRACE ELLEN DAVIS (APRN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GRACE ELLEN DAVIS (APRN)?
GRACE ELLEN DAVIS (APRN) is associated with Edgewater, Florida in the same public data insurers reference.
Why is information missing for GRACE ELLEN DAVIS (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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