BOBBIE JO DAVIS – Counselor, NPI 1568860914

BOBBIE JO DAVIS is a healthcare provider. based in Bemidji, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 27542 (MN). The NPI Number for BOBBIE JO DAVIS is 1568860914

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
BOBBIE JO DAVIS
NPI
1568860914
Phone
(218) 751-3280
Address
722 15TH ST NW
Enumeration Date
17 December 2014
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184442845
Graduation Year
2023 (3 years ago)
PAC ID
7315430022
Group Practice PAC ID
2365768199
Professional Enrollment ID
I20251202001427
Address ID
MN566014278BE519XXNWXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for BOBBIE JO DAVIS

  • 722 15TH ST NW

    BEMIDJI, MN 566012528

    Phone: (218) 751-3280

    Fax: (218) 751-3298

    Type: Mailing

  • 909 AMERICA AVE NW

    BEMIDJI, MN 566012844

    Phone: (218) 444-2845

    Fax: (218) 444-2847

    Type: Mailing

  • 519 ANNE ST NW STE B

    BEMIDJI, MN 566014278

    Phone: (218) 444-2845

    Fax: (218) 444-2847

    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: 2025-12-02

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
I20251202001427IClinical Social WorkerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56601)

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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: 2365768199View full group profile
NameSpecialtyState
Nurse PractitionerMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMT
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Is BOBBIE JO DAVIS listed with a National Provider Identifier?
Yes — BOBBIE JO DAVIS has NPI 1568860914 on file in the registry.
Is there an active status for BOBBIE JO DAVIS?
For scheduling context, BOBBIE JO DAVIS is shown as active in the registry.
How would a patient describe BOBBIE JO DAVIS's focus?
For BOBBIE JO DAVIS, the primary taxonomy reads as Counselor. Clinical services aligned with this taxonomy classification.
Where in Minnesota is BOBBIE JO DAVIS registered?
Use Bemidji, Minnesota as the headline location for BOBBIE JO DAVIS here.
Does BOBBIE JO DAVIS accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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