HEATHER DAVIS (NP) – Acute Care Nurse Practitioner, NPI 1013602622

HEATHER DAVIS (NP) is a healthcare provider. based in Richmond, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN.CNP.0033627 (OH). The NPI Number for HEATHER DAVIS (NP) is 1013602622

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER DAVIS (NP)
NPI
1013602622
Phone
(703) 200-6791
Address
1126 FAIRACRES RD
Enumeration Date
10 April 2023
Last Update Date
10 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372088000
Graduation Year
2022 (4 years ago)
PAC ID
0345602017
Group Practice PAC ID
9830536911
Professional Enrollment ID
I20230811001073
Address ID
OH454092722DA1XXXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for HEATHER DAVIS (NP)

  • 1126 FAIRACRES RD

    RICHMOND, IN 473741146

    Phone: (703) 200-6791

    Type: Mailing

  • 2400 MIAMI VALLEY DR

    CENTERVILLE, OH 454594774

    Phone: (937) 438-2400

    Type: Location

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: 2023-08-11

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
I20230811001073INurse PractitionerOHTBD

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 47374)

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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: 9830536911View full group profile
NameSpecialtyState
Family PracticePA
Physician AssistantOH
Internal MedicineOH
Hospitalist, Internal MedicineOH
Internal MedicineNY
Internal MedicineNY
Hospitalist, Internal MedicineOH
Internal MedicineOH
Internal MedicineMA
Internal MedicineME

Reviews

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Frequently asked questions

Is there an official ID for HEATHER DAVIS (NP) in U.S. healthcare records?
The official identifier for HEATHER DAVIS (NP) is NPI 1013602622.
Would HEATHER DAVIS (NP) appear as active to a payer?
You can treat HEATHER DAVIS (NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for HEATHER DAVIS (NP)?
At a glance, HEATHER DAVIS (NP) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with HEATHER DAVIS (NP)?
Directory geography for HEATHER DAVIS (NP) centers on Richmond, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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