MRS. KATILYN MARIE DAVIS (CNP) – Gerontology Nurse Practitioner, NPI 1043395361
Gerontology Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MRS. KATILYN MARIE DAVIS (CNP)
10617 Kyle Ave N
Brooklyn Park, MN 554431249
Phone: (612) 802-4972
Type: Location
5320, West 23rd Street, Lake Forest, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
STE 130
ST LOUIS PARK, MN 554161670
Phone: (952) 345-3213
Type: Mailing
10617, Kyle Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55443, United States
BROOKLYN PARK, MN 554431249
Phone: (612) 802-4972
Type: Location
5200 DOUGLAS DR N
CRYSTAL, MN 554293104
Phone: (888) 290-1209
Type: Location
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: 2014-08-13
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 |
|---|---|---|---|---|
| I20140813001041 | I | Nurse Practitioner | MN | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 376 | 63 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 26 | 26 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 16 | 12 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 55443)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Physician Assistant | WI | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN |
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