MRS. JENNIFER ANNE DAVISON (F.N.P.) – Family Nurse Practitioner, NPI 1336336155
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for MRS. JENNIFER ANNE DAVISON (F.N.P.)
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
770 INDIAN BOUNDARY RD STE 200
CHESTERTON, IN 463041519
Phone: (219) 921-2000
Fax: (219) 395-8770
Type: Location
810, Michael Drive, Morgan Park, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463042695
Phone: (219) 395-2180
Fax: (219) 983-9716
Type: Mailing
203, Indian Boundary Road, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463041519
Phone: (219) 921-2059
Fax: (219) 395-8770
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $665.
Total Amount is formed as General ($665) + Research ($0) + Ownership ($0) = $665.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Lilly USA, LLC ($138).
Total Amount
$665
General + Research + Ownership
Payments
35
Total payment records
General Amount
$665
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $138 |
| ABBVIE INC. | $96 |
| Corcept Therapeutics | $53 |
| Novo Nordisk Inc | $49 |
| Novartis Pharmaceuticals Corporation | $48 |
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: 2008-03-13
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 |
|---|---|---|---|---|
| I20080313000235 | 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.
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 | 127 | 94 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 62 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 33 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 14 | 14 | $0 |
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48278)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | IN | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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