LYNNETTE A DAVIS (APN) – Women's Health Nurse Practitioner, NPI 1225260920

LYNNETTE A DAVIS (APN) is a healthcare provider. based in Springfield, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials APN. They hold a License No. 209007712 (IL). The NPI Number for LYNNETTE A DAVIS (APN) is 1225260920

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LYNNETTE A DAVIS (APN)
NPI
1225260920
Phone
(217) 528-7541
Address
PO BOX 19248
Enumeration Date
13 August 2009
Last Update Date
15 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096922025
Graduation Year
2009 (17 years ago)
PAC ID
0749400844
Group Practice PAC ID
0547166076
Professional Enrollment ID
I20141010002295
Address ID
IL616142529PE2419XCTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Digital endpointsOther names

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

Provider Addresses for LYNNETTE A DAVIS (APN)

  • PO BOX 19248

    SPRINGFIELD, IL 627949248

    Phone: (217) 528-7541

    Type: Mailing

  • 2419 W CORNERSTONE CT

    PEORIA, IL 616142529

    Phone: (309) 692-2025

    Type: Location

  • 2709, Broadway Street, Pekin, Tazewell County, Illinois, 61554, United States

    PEKIN, IL 615542676

    Phone: (309) 353-3330

    Fax: (309) 353-3334

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $567.

Total Amount is formed as General ($567) + Research ($0) + Ownership ($0) = $567.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Astellas Pharma US Inc ($221).

Total Amount

$567

General + Research + Ownership

Payments

25

Total payment records

General Amount

$567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2014-10-10

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
I20141010002295ICertified Nurse Midwife (Cnm)ILTBD

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 62794)

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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: 0547166076View full group profile

Reviews

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Frequently asked questions

Is there an official ID for LYNNETTE A DAVIS (APN) in U.S. healthcare records?
The official identifier for LYNNETTE A DAVIS (APN) is NPI 1225260920.
Is there an active status for LYNNETTE A DAVIS (APN)?
For scheduling context, LYNNETTE A DAVIS (APN) is shown as active in the registry.
How would a patient describe LYNNETTE A DAVIS (APN)'s focus?
For LYNNETTE A DAVIS (APN), the primary taxonomy reads as Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LYNNETTE A DAVIS (APN) associated with Springfield?
Public fields place LYNNETTE A DAVIS (APN) around Springfield, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for LYNNETTE A DAVIS (APN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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