MRS. DEBORAH DAVIS (CNP) – Nurse Practitioner, NPI 1467592907

MRS. DEBORAH DAVIS (CNP) is a healthcare provider. based in Eldorado, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 209002050 (IL). The NPI Number for MRS. DEBORAH DAVIS (CNP) is 1467592907

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEBORAH DAVIS (CNP)
NPI
1467592907
Phone
Not provided
Address
1201 PINE ST
Enumeration Date
7 February 2007
Last Update Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182948264
Graduation Year
1996 (30 years ago)
PAC ID
6608056577
Group Practice PAC ID
1355389453
Professional Enrollment ID
I20110209000822
Address ID
IL629463319HA250XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. DEBORAH DAVIS (CNP)

  • 1201 PINE ST

    ELDORADO, IL 629301634

    Phone:

    Type: Mailing

  • 250 SMALL ST

    HARRISBURG, IL 629463319

    Phone: (618) 294-8264

    Fax: (618) 294-8265

    Type: Location

  • PO BOX 1467

    INDIANAPOLIS, IN 462061467

    Phone: (618) 457-5200

    Type: Mailing

  • 117 E CLARK ST

    HARRISBURG, IL 629462702

    Phone: (618) 252-8625

    Fax: (618) 252-2540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 119 Open Payments records for all available years, with a total value of $2,120.

Total Amount is formed as General ($2,120) + Research ($0) + Ownership ($0) = $2,120.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lilly USA, LLC ($605).

Total Amount

$2,120

General + Research + Ownership

Payments

119

Total payment records

General Amount

$2,120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2011-02-09

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
I20110209000822INurse PractitionerILTBD

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
87210Smear for infectious agents2621$0
81003Automated urinalysis test2419$0
Q0112All potassium hydroxide (koh) preparations1512$0
View full utilization report →

Insurance plans in this area (ZIP 62930)

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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: 1355389453View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineIN
Clinical Social WorkerIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Orthopedic SurgeryAZ
P O D I A T R YIL
Orthopedic SurgeryAL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does MRS. DEBORAH DAVIS (CNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. DEBORAH DAVIS (CNP) uses 1467592907.
Can I rely on MRS. DEBORAH DAVIS (CNP) being an active provider?
As of the registry snapshot, MRS. DEBORAH DAVIS (CNP) is marked active.
What is MRS. DEBORAH DAVIS (CNP) best known for clinically?
Directory data describes MRS. DEBORAH DAVIS (CNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. DEBORAH DAVIS (CNP) based?
MRS. DEBORAH DAVIS (CNP) is tied to Eldorado, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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