MS. HEATHER DAWN DAVIS (APRN,FNP-C) – Nurse Practitioner, NPI 1053880781
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for MS. HEATHER DAWN DAVIS (APRN,FNP-C)
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
305 W JACKSON ST STE 206
CARBONDALE, IL 629011474
Phone: (618) 457-3006
Fax: (618) 457-3008
Type: Location
400, West Jackson Street, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 62901
Phone: (618) 457-3031
Fax: (618) 457-3032
Type: Location
1000 N MAIN ST
ANNA, IL 629061652
Phone: (618) 833-5161
Fax: (618) 833-9034
Type: Mailing
4119 S WATER TOWER PL STE A
MOUNT VERNON, IL 628646293
Phone: (618) 816-6006
Fax: (618) 816-6005
Type: Mailing
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: 2019-11-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191127001392 | I | Nurse Practitioner | IL | TBD |
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.
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 62902)
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