MRS. KENISHA LA'TRECE DAVIS (APRN, PMHNP-BC) – Family Nurse Practitioner, NPI 1528236650
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KENISHA LA'TRECE DAVIS (APRN, PMHNP-BC)
3615 Socialville Foster Rd
Mason, OH 450409671
Phone: (513) 204-1910
Type: Location
6632 STATE ROAD 48
MAINEVILLE, OH 45039
Phone: (513) 886-2367
Fax: (513) 886-2367
Type: Location
8350 RIDGEVALLEY CT
CINCINNATI, OH 452473596
Phone: (513) 886-2367
Type: Mailing
7593 TYLERS PLACE BLVD
WEST CHESTER, OH 450696308
Phone: (513) 909-2225
Type: Location
3421, Bevis Avenue, O’Bryonville, Evanston, Cincinnati, Hamilton County, Ohio, 45207, United States
CINCINNATI, OH 452071611
Phone: (513) 886-2367
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,265.
Total Amount is formed as General ($1,265) + Research ($0) + Ownership ($0) = $1,265.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($257).
Total Amount
$1,265
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $257 |
| Otsuka America Pharmaceutical, Inc. | $242 |
| Teva Pharmaceuticals USA, Inc. | $241 |
| Alkermes, Inc. | $205 |
| Lilly USA, LLC | $122 |
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: 2015-11-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151109000565 | I | Nurse Practitioner | OH | TBD |
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.
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 45040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH |
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