AMANDA NICOLE DAVIS (CNP) – Family Nurse Practitioner, NPI 1164724787

AMANDA NICOLE DAVIS (CNP) is a healthcare provider. based in Gallipolis, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.12007-NP (OH). The NPI Number for AMANDA NICOLE DAVIS (CNP) is 1164724787

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA NICOLE DAVIS (CNP)
NPI
1164724787
Phone
(740) 992-0060
Address
90 JACKSON PIKE
Enumeration Date
2 December 2010
Last Update Date
7 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404465050
Graduation Year
2010 (16 years ago)
PAC ID
3375724628
Group Practice PAC ID
5890606008
Professional Enrollment ID
I20110221000527
Address ID
OH456311560GA100XXPIKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for AMANDA NICOLE DAVIS (CNP)

  • 90 JACKSON PIKE

    GALLIPOLIS, OH 456311560

    Phone: (740) 992-0060

    Fax: (740) 446-5854

    Type: Mailing

  • 280 PATTONSVILLE RD

    JACKSON, OH 456409452

    Phone: (740) 395-8805

    Fax: (740) 395-8855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($65).

Total Amount

$85

General + Research + Ownership

Payments

3

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-03

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: 2011-02-21

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
I20110221000527INurse 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
99284Emergency department visit with moderate level of medical decision making135132$0
99285Emergency department visit with high level of medical decision making5754$0
99283Emergency department visit with low level of medical decision making5554$0
99282Emergency department visit with straightforward medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 45631)

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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: 5890606008View full group profile

Reviews

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Frequently asked questions

Where can patients find AMANDA NICOLE DAVIS (CNP)'s NPI?
You can confirm AMANDA NICOLE DAVIS (CNP) with NPI 1164724787; it appears in the national provider directory.
Is AMANDA NICOLE DAVIS (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does AMANDA NICOLE DAVIS (CNP) work in?
You can think of AMANDA NICOLE DAVIS (CNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for AMANDA NICOLE DAVIS (CNP)?
We surface Gallipolis, Ohio for AMANDA NICOLE DAVIS (CNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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