JESSICA L. DAVIS (PA-C) – Physician Assistant, NPI 1568501112

JESSICA L. DAVIS (PA-C) is a healthcare provider. based in Springfield, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2003002308 (MO). The NPI Number for JESSICA L. DAVIS (PA-C) is 1568501112

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA L. DAVIS (PA-C)
NPI
1568501112
Phone
(417) 829-4620
Address
PO BOX 2580
Enumeration Date
6 February 2007
Last Update Date
8 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178205610
Graduation Year
2002 (24 years ago)
PAC ID
2466498894
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20050707000158
Address ID
MO657218807OZ3050XBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for JESSICA L. DAVIS (PA-C)

  • PO BOX 2580

    SPRINGFIELD, MO 658012580

    Phone: (417) 829-4620

    Type: Mailing

  • 3050 E RIVER BLUFF BLVD

    OZARK, MO 657218807

    Phone: (417) 820-5610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$44
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: 2005-07-07

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
I20050707000158IPhysician AssistantMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6411$0
99213Established patient office or other outpatient visit, 20-29 minutes4340$0
20610Aspiration and/or injection of fluid from large joint3930$0
J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose2921$0
27447Replacement of knee joint, both sides of knee2222$0
View full utilization report →

Insurance plans in this area (ZIP 65801)

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Provider's Procedures

JESSICA L. DAVIS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO27447Repair of knee joint4443

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: 7416865845View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JESSICA L. DAVIS (PA-C)?
Save NPI 1568501112 if you need a stable reference for JESSICA L. DAVIS (PA-C).
Is JESSICA L. DAVIS (PA-C)'s NPI currently valid?
The extract we use shows JESSICA L. DAVIS (PA-C) as active.
Does JESSICA L. DAVIS (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for JESSICA L. DAVIS (PA-C). Clinical services aligned with this taxonomy classification.
Where is JESSICA L. DAVIS (PA-C)'s primary listing?
We display Springfield, Missouri because that is what the record indicates for JESSICA L. DAVIS (PA-C).
How can I contact JESSICA L. DAVIS (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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