DR. DOMINYSE DAVIS (DNP, APRN, FNP-C) – Family Nurse Practitioner, NPI 1962066639
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for DR. DOMINYSE DAVIS (DNP, APRN, FNP-C)
West Kilgore Avenue, Muncie, Delaware County, Indiana, 47305, United States
MUNCIE, IN 473044810
Phone: (765) 741-1038
Type: Mailing
400 S 4th St Ste 500
Las Vegas, NV 891016207
Phone: (888) 731-8994
Type: Location
1701 Spring St Ste B
Jeffersonville, IN 471302930
Phone: (812) 284-2273
Fax: (812) 284-2279
Type: Location
700 Main St Ste 3
Bangor, ME 044016800
Phone: (888) 731-8994
Type: Location
999 18th St Ste 3000
Denver, CO 802022449
Phone: (888) 731-8994
Type: Location
201 N Illinois St
Indianapolis, IN 462041904
Phone: (888) 731-8994
Type: Location
699 Walnut St Ste 4
Des Moines, IA 503093949
Phone: (888) 731-8994
Type: Location
111 N Orange Ave Ste 800
Orlando, FL 328012381
Phone: (888) 731-8994
Type: Location
120 N TILLOTSON AVE
MUNCIE, IN 473044081
Phone: (765) 747-3888
Type: Mailing
3413 N BRIARWOOD LN
MUNCIE, IN 473045210
Phone: (765) 400-1800
Fax: (765) 400-1840
Type: Mailing
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: 2021-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210315000967 | I | Nurse Practitioner | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | OH |
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