MR. JEFFERY SCOTT DAVIS (APN RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639402738

MR. JEFFERY SCOTT DAVIS (APN RN) is a healthcare provider. based in Granite city, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN RN. They hold a License No. 867801 (NV). The NPI Number for MR. JEFFERY SCOTT DAVIS (APN RN) is 1639402738

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFERY SCOTT DAVIS (APN RN)
NPI
1639402738
Phone
(314) 776-7999
Address
2044 Madison Ave Ste G5
Enumeration Date
8 September 2009
Last Update Date
1 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145498494
Graduation Year
2009 (17 years ago)
PAC ID
2961540281
Group Practice PAC ID
5597662080
Professional Enrollment ID
I20211012002977
Address ID
IL620404641GR2044XAVEX360
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:16State licenses:3Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MR. JEFFERY SCOTT DAVIS (APN RN)

  • 2044 Madison Ave Ste G5

    Granite City, IL 620404641

    Phone: (314) 776-7999

    Type: Location

  • 1400 LEMAY FERRY RD

    SAINT LOUIS, MO 631252408

    Phone: (314) 262-4875

    Type: Mailing

  • 777 CRAIG RD STE 200

    CREVE COEUR, MO 631417190

    Phone: (314) 776-7999

    Type: Location

  • 1400 LeMay Ferry Rd

    Saint Louis, MO 631252408

    Phone: (314) 262-4875

    Type: Location

  • 1835, Kingshighway, Rosemont, Washington Park, Saint Clair County, Illinois, 62204, United States

    WASHINGTON PARK, IL 62204

    Phone: (618) 482-7922

    Fax: (618) 482-7881

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 189 Open Payments records for all available years, with a total value of $18,633.

Total Amount is formed as General ($18,633) + Research ($0) + Ownership ($0) = $18,633.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($10,606).

Total Amount

$18,633

General + Research + Ownership

Payments

189

Total payment records

General Amount

$18,633

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2021-10-12

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
I20091106000321INurse PractitionerMOTBD
I20211012002977INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2018$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1919$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 62040)

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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: 5597662080View full group profile
NameSpecialtyState
Nurse PractitionerMO
Certified Clinical Nurse Specialist (Cns)MO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerIL
P S Y C H I A T R YMO
P S Y C H I A T R YMO
-MO
Clinical Social WorkerMO

Reviews

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Frequently asked questions

How is MR. JEFFERY SCOTT DAVIS (APN RN) identified in CMS data?
CMS-hosted NPPES data lists MR. JEFFERY SCOTT DAVIS (APN RN) with NPI 1639402738.
Does CMS list MR. JEFFERY SCOTT DAVIS (APN RN) as active?
Yes — MR. JEFFERY SCOTT DAVIS (APN RN) is active in the NPI listing used on this page.
What is MR. JEFFERY SCOTT DAVIS (APN RN)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MR. JEFFERY SCOTT DAVIS (APN RN) here. Clinical services aligned with this taxonomy classification.
Does MR. JEFFERY SCOTT DAVIS (APN RN) list a practice location?
Patients near Granite City, Illinois may find MR. JEFFERY SCOTT DAVIS (APN RN) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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