DAVRIN DAVIS (RN) – Certified Registered Nurse Anesthetist, NPI 1255930152

DAVRIN DAVIS (RN) is a healthcare provider. based in Pocatello, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. RN90241 (NV). The NPI Number for DAVRIN DAVIS (RN) is 1255930152

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DAVRIN DAVIS (RN)
NPI
1255930152
Phone
(702) 469-6284
Address
630 WILLARD AVE
Enumeration Date
21 October 2020
Last Update Date
23 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024876880
Graduation Year
2020 (6 years ago)
PAC ID
7113332776
Group Practice PAC ID
6507925849
Professional Enrollment ID
I20210212002349
Address ID
NV890523951HE10120AVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

194 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NV

Provider Addresses for DAVRIN DAVIS (RN)

  • 630 WILLARD AVE

    POCATELLO, ID 832013743

    Phone: (702) 469-6284

    Type: Mailing

  • 6900 N DURANGO DR

    LAS VEGAS, NV 891494409

    Phone: (702) 835-9700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-02-12

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
I20210212002349ICertified Registered Nurse Anesthetist (Crna)NVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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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: 6507925849View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)NV
-NV
A N E S T H E S I O L O G YNY
-NV
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YMN
-NV
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Can I use this page to confirm DAVRIN DAVIS (RN)'s NPI?
Yes. DAVRIN DAVIS (RN) is listed with NPI 1255930152 in the public NPI dataset.
Is DAVRIN DAVIS (RN) still practicing?
DAVRIN DAVIS (RN) is currently listed as active in the public NPI registry.
What healthcare role does DAVRIN DAVIS (RN) hold?
Scheduling teams often label DAVRIN DAVIS (RN) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does DAVRIN DAVIS (RN) serve?
DAVRIN DAVIS (RN)'s listing highlights Pocatello, Idaho; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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