CATHERINE A DAVIS – Pediatrics Physician, NPI 1619956653

CATHERINE A DAVIS is a healthcare provider. based in Mankato, Minnesota. specializing in PEDIATRIC MEDICINE, DERMATOLOGY. They hold a License No. 37871 (MN). The NPI Number for CATHERINE A DAVIS is 1619956653

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE A DAVIS
NPI
1619956653
Phone
(507) 625-1811
Address
PO BOX 8674
Enumeration Date
10 January 2006
Last Update Date
10 July 2020

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
5890737480
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20050524000812
Address ID
MN560028674MA1421XDRXX300

Contacts

Secure Messaging
catherinedavis@mklt.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

717 PEDIATRIC MEDICINE in MN

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Provider Addresses for CATHERINE A DAVIS

  • Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States

    1230 E MAIN ST MANKATO CLINIC LTD

    MANKATO, MN 560028674

    Phone: (507) 625-1811

    Type: Mailing

  • 400, Madison Avenue, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560016805

    Phone: (507) 625-1811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $461.

Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($98).

Total Amount

$461

General + Research + Ownership

Payments

22

Total payment records

General Amount

$461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

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: 2005-05-24

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
I20050524000812IPediatric MedicineMNTBD

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 56002)

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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: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
-MN
General SurgeryMN
Diagnostic Radiology, Internal MedicineMN

Reviews

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Frequently asked questions

Can I use this page to confirm CATHERINE A DAVIS's NPI?
Yes. CATHERINE A DAVIS is listed with NPI 1619956653 in the public NPI dataset.
Can I rely on CATHERINE A DAVIS being an active provider?
As of the registry snapshot, CATHERINE A DAVIS is marked active.
What is CATHERINE A DAVIS's specialty?
The listing groups CATHERINE A DAVIS with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What area does CATHERINE A DAVIS serve?
CATHERINE A DAVIS's listing highlights Mankato, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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