KEITH DAVIDSON (NP-C) – Adult Health Nurse Practitioner, NPI 1366827982
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for KEITH DAVIDSON (NP-C)
3532 MAIN ST
DECKERVILLE, MI 484279615
Phone: (810) 376-3100
Fax: (810) 376-8311
Type: Location
PO BOX 126
3532 MAIN STREET
DECKERVILLE, MI 484270126
Phone: (810) 376-3100
Fax: (810) 376-8311
Type: Mailing
2433 BLACK RIVER ST
DECKERVILLE, MI 484279425
Phone: (810) 376-2885
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $337.
Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: USWM, LLC ($88).
Total Amount
$337
General + Research + Ownership
Payments
18
Total payment records
General Amount
$337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| USWM, LLC | $88 |
| ABBVIE INC. | $74 |
| Lilly USA, LLC | $46 |
| Orexo US, Inc. | $23 |
| Alkermes, Inc. | $20 |
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: 2015-08-13
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 |
|---|---|---|---|---|
| I20150813011934 | I | Nurse Practitioner | MI | 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 48427)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Hospitalist, Emergency Medicine, Internal Medicine | MI | |
| - | IN | |
| Emergency Medicine | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine, Family Practice | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Emergency Medicine | MI |
Reviews
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