STEPHANIE M DAVIS – Nurse Practitioner, NPI 1972051423

STEPHANIE M DAVIS is a healthcare provider. based in Boise, Idaho. specializing in NURSE PRACTITIONER. They hold a License No. 4071397 (ID). The NPI Number for STEPHANIE M DAVIS is 1972051423

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE M DAVIS
NPI
1972051423
Phone
Not provided
Address
190 E BANNOCK ST
Enumeration Date
13 September 2016
Last Update Date
19 January 2026

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
5496022121
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20260203002477
Address ID
ID836426303ME3525XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:9State licenses:3Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for STEPHANIE M DAVIS

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone:

    Type: Mailing

  • 3525 E LOUISE DR STE 401

    MERIDIAN, ID 836426303

    Phone: (208) 322-1680

    Fax: (208) 322-1695

    Type: Location

  • 1230 E 1ST ST

    CASPER, WY 826012704

    Phone: (307) 266-3174

    Fax: (307) 266-3177

    Type: Mailing

  • 7320 216th St SW Ste 210

    Edmonds, WA 980268006

    Phone: (425) 744-1777

    Fax: (425) 744-1790

    Type: Location

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

  • 7320 216TH ST SW STE 210

    EDMONDS, WA 980268006

    Phone: (425) 744-1777

    Fax: (425) 744-1790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $393.

Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Boston Scientific Corporation ($393).

Total Amount

$393

General + Research + Ownership

Payments

15

Total payment records

General Amount

$393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2026-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240328003534INurse PractitionerWATBD
I20260203002477INurse PractitionerIDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9162$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7143$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days5956$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5739$0
99239Hospital discharge day management, more than 30 minutes5453$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

Can I cross-check STEPHANIE M DAVIS using NPI 1972051423?
NPI 1972051423 belongs to STEPHANIE M DAVIS; compare other details if you need extra assurance.
Would STEPHANIE M DAVIS appear as active to a payer?
You can treat STEPHANIE M DAVIS as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with STEPHANIE M DAVIS?
STEPHANIE M DAVIS's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHANIE M DAVIS?
Directory geography for STEPHANIE M DAVIS centers on Boise, Idaho.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.