KEITHA DAVIS (APRN, FNP-BC, FPA) – Nurse Practitioner, NPI 1922516723
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,703 NURSE PRACTITIONER in IL
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Provider Addresses for KEITHA DAVIS (APRN, FNP-BC, FPA)
1009 S WOOD ST FL 2
CHICAGO, IL 606123747
Phone: (312) 996-2779
Fax: (312) 355-2983
Type: Mailing
Governors Highway, Homewood, Rich Township, Cook County, Illinois, 60430, United States
HOMEWOOD, IL 604301146
Phone: (708) 957-0220
Fax: (708) 957-4519
Type: Mailing
1860 PAYSHERE CIRCLE
CHICAGO, IL 606740001
Phone: (630) 469-9200
Type: Mailing
1020 E OGDEN AVE STE 301
NAPERVILLE, IL 605638611
Phone: (630) 790-1221
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $738.
Total Amount is formed as General ($738) + Research ($0) + Ownership ($0) = $738.
Last reported payment date: 2024-10-19 • Largest payer in this snapshot: COLOPLAST CORP ($289).
Total Amount
$738
General + Research + Ownership
Payments
43
Total payment records
General Amount
$738
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-03-21
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20180321001057 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 155 | 133 | $0 |
| 81003 | Automated urinalysis test | 91 | 83 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 58 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 24 | 24 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Internal Medicine | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | WI | |
| Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Certified Clinical Nurse Specialist (Cns) | IL | |
| Cardiovascular Disease (Cardiology) | TN |
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