MARY ELLEN DAVIS – Nurse Practitioner, NPI 1215917919

MARY ELLEN DAVIS is a healthcare provider. based in Lewiston, Maine. specializing in NURSE PRACTITIONER. They hold a License No. R026808 (ME). The NPI Number for MARY ELLEN DAVIS is 1215917919

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELLEN DAVIS
NPI
1215917919
Phone
(207) 795-5700
Address
12 HIGH ST
Enumeration Date
19 January 2006
Last Update Date
20 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077533900
Graduation Year
1996 (30 years ago)
PAC ID
7416080999
Group Practice PAC ID
2567379563
Professional Enrollment ID
I20100804000700
Address ID
ME042407027LE300XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

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Provider Addresses for MARY ELLEN DAVIS

  • 12, High Street, Lewiston, Androscoggin County, Maine, 04240, United States

    STE 400

    LEWISTON, ME 042407634

    Phone: (207) 795-5700

    Fax: (207) 795-5727

    Mailing address matches the actual address.

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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-08-22 • Largest payer in this snapshot: Ethicon US, LLC ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$32
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: 2010-08-04

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
I20100804000700INurse PractitionerMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes274124$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3939$0
99215Established patient office or other outpatient visit, 40-54 minutes2520$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
99443Telephone medical discussion with physician, 21-30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 2567379563View full group profile
NameSpecialtyState
-AL
P O D I A T R YME
Certified Registered Nurse Anesthetist (Crna)ME
Nurse PractitionerME
-ME
-OR
-ME
Critical Care (Intensivists), Sleep Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseME
-NH
Nurse PractitionerME

Reviews

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Frequently asked questions

How is MARY ELLEN DAVIS identified in CMS data?
CMS-hosted NPPES data lists MARY ELLEN DAVIS with NPI 1215917919.
Is MARY ELLEN DAVIS listed as active for patients and plans?
The listing shows MARY ELLEN DAVIS as active in the NPI system.
What taxonomy line describes MARY ELLEN DAVIS?
For research purposes, treat MARY ELLEN DAVIS as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARY ELLEN DAVIS on a map?
Expect Lewiston, Maine as a primary anchor for MARY ELLEN DAVIS unless the record lists multiple sites.
Why does MARY ELLEN DAVIS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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