LUKE A DAVIS (CNP) – Family Nurse Practitioner, NPI 1073869905

LUKE A DAVIS (CNP) is a healthcare provider. based in Lima, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA13524-NP (OH). The NPI Number for LUKE A DAVIS (CNP) is 1073869905

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
LUKE A DAVIS (CNP)
NPI
1073869905
Phone
(419) 221-3072
Address
441 E 8TH ST
Enumeration Date
30 July 2012
Last Update Date
13 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138476778
Graduation Year
2012 (14 years ago)
PAC ID
4183873243
Group Practice PAC ID
6608052196
Professional Enrollment ID
I20121004000389
Address ID
OH450661110SP540XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for LUKE A DAVIS (CNP)

  • 441 E 8TH ST

    LIMA, OH 458042482

    Phone: (419) 221-3072

    Fax: (419) 225-8878

    Type: Mailing

  • 486 W PERRY ST

    TIFFIN, OH 448831902

    Phone: (419) 455-8140

    Fax: (419) 225-8878

    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 $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($23).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (952 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20121004000389INurse PractitionerOH2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99214Established patient office or other outpatient visit, 30-39 minutes6354$0
87804Detection test by immunoassay with direct visual observation for influenza virus4020$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3736$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
99205New patient office or other outpatient visit, 60-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 45804)

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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: 6608052196View full group profile
NameSpecialtyState
-KY
Physician AssistantOH
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerKY
Nurse PractitionerOH
-OH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for LUKE A DAVIS (CNP) in the U.S.?
In the U.S., LUKE A DAVIS (CNP) is identified by NPI 1073869905.
Does the public listing show LUKE A DAVIS (CNP) as active?
LUKE A DAVIS (CNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits LUKE A DAVIS (CNP)?
NPPES ties LUKE A DAVIS (CNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit LUKE A DAVIS (CNP) in Lima, Ohio?
For routing, start with Lima, Ohio for LUKE A DAVIS (CNP), then verify phone and hours locally.
Can I export LUKE A DAVIS (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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