MRS. MOLLY JO DAVIS (NP) – Family Nurse Practitioner, NPI 1124547435

MRS. MOLLY JO DAVIS (NP) is a healthcare provider. based in Blacklick, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN.CNP.021441 (OH). The NPI Number for MRS. MOLLY JO DAVIS (NP) is 1124547435

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MOLLY JO DAVIS (NP)
NPI
1124547435
Phone
Not provided
Address
481 BRICKTONE DR
Enumeration Date
18 September 2017
Last Update Date
4 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404553304
Graduation Year
2017 (9 years ago)
PAC ID
8527334671
Group Practice PAC ID
8628232469
Professional Enrollment ID
I20171018000866
Address ID
OH437016172ZA200XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for MRS. MOLLY JO DAVIS (NP)

  • 481 BRICKTONE DR

    BLACKLICK, OH 430049224

    Phone:

    Type: Mailing

  • Marietta Memorial Hospital, 401, Matthew Street, Riverdale, Marietta, Washington County, Ohio, 45750, United States

    MARIETTA, OH 45750

    Phone: (740) 374-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 293 Open Payments records for all available years, with a total value of $4,889.

Total Amount is formed as General ($4,889) + Research ($0) + Ownership ($0) = $4,889.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,055).

Total Amount

$4,889

General + Research + Ownership

Payments

293

Total payment records

General Amount

$4,889

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2017-10-18

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
I20171018000866INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes244207$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
99213Established patient office or other outpatient visit, 20-29 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 43004)

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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: 8628232469View full group profile
NameSpecialtyState
Internal MedicineLA
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH
Sports Medicine, Family Practice, Family PracticeOH
Family PracticeOH
Family PracticeOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to MRS. MOLLY JO DAVIS (NP)?
The federal identifier for MRS. MOLLY JO DAVIS (NP) is NPI 1124547435.
Is MRS. MOLLY JO DAVIS (NP) active in the national directory?
MRS. MOLLY JO DAVIS (NP)'s public NPI profile is in an active state.
What kind of provider is MRS. MOLLY JO DAVIS (NP)?
The page reflects Family Nurse Practitioner for MRS. MOLLY JO DAVIS (NP). Clinical services aligned with this taxonomy classification.
Does MRS. MOLLY JO DAVIS (NP) practice in Ohio?
You will see Blacklick, Ohio on file for MRS. MOLLY JO DAVIS (NP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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