ANDREA L DAVIS (CRNA) – Anesthesiology Physician, NPI 1427040617

ANDREA L DAVIS (CRNA) is a healthcare provider. based in Wichita, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 55080 (KS). The NPI Number for ANDREA L DAVIS (CRNA) is 1427040617

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA L DAVIS (CRNA)
NPI
1427040617
Phone
(316) 962-3030
Address
550 N HILLSIDE
Enumeration Date
16 August 2005
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3167684197
Graduation Year
2002 (24 years ago)
PAC ID
3476677543
Group Practice PAC ID
1153586821
Professional Enrollment ID
I20100825001097
Address ID
KS672058858WI4013XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

967 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

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Provider Addresses for ANDREA L DAVIS (CRNA)

  • 550, North Hillside Street, Wichita, Sedgwick County, Kansas, 67214, United States

    WICHITA, KS 67214

    Phone: (316) 962-3030

    Type: Location

  • 8080, East Central Avenue, Forest Hills, Wichita, Sedgwick County, Kansas, 67206, United States

    STE 250

    WICHITA, KS 672062361

    Phone: (316) 686-7327

    Fax: (316) 686-1557

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-09-15 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$13
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: 2010-08-25

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
I20100825001097ICertified Registered Nurse Anesthetist (Crna)KSTBD

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
00140Anesthesia for other procedure on eye10087$0
00142Anesthesia for lens surgery7560$0
View full utilization report →

Insurance plans in this area (ZIP 67214)

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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: 1153586821View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YCO
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

What identifier follows ANDREA L DAVIS (CRNA) across health systems?
The NPI 1427040617 uniquely identifies ANDREA L DAVIS (CRNA) in U.S. healthcare data.
Quick check: is ANDREA L DAVIS (CRNA) active?
Public NPPES data shows ANDREA L DAVIS (CRNA) with an active NPI status right now.
What services align with ANDREA L DAVIS (CRNA)'s listing?
ANDREA L DAVIS (CRNA)'s public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is ANDREA L DAVIS (CRNA) tied to Wichita, Kansas?
If you are local to Wichita, Kansas, ANDREA L DAVIS (CRNA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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