KIMBERLY NICHOLE DAVIS (MD) – Family Medicine Physician, NPI 1033435912

KIMBERLY NICHOLE DAVIS (MD) is a healthcare provider. based in Bartlesville, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 2013021817 (MO). The NPI Number for KIMBERLY NICHOLE DAVIS (MD) is 1033435912

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY NICHOLE DAVIS (MD)
NPI
1033435912
Phone
(918) 335-5000
Address
3400 E FRANK PHILLIPS BLVD STE 702
Enumeration Date
16 April 2010
Last Update Date
29 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
9234372822
Group Practice PAC ID
2567366495
Professional Enrollment ID
I20141209000682
Address ID
OK741045410TU1705XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for KIMBERLY NICHOLE DAVIS (MD)

  • 3400 E FRANK PHILLIPS BLVD STE 702

    BARTLESVILLE, OK 740062443

    Phone: (918) 335-5000

    Fax: (918) 331-2506

    Type: Mailing

  • East Frank Phillips Boulevard, Bartlesville, Washington County, Oklahoma, 74006, United States

    BARTLESVILLE, OK 740062439

    Phone: (918) 331-2415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $669.

Total Amount is formed as General ($669) + Research ($0) + Ownership ($0) = $669.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Novo Nordisk Inc ($167).

Total Amount

$669

General + Research + Ownership

Payments

29

Total payment records

General Amount

$669

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2014-12-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141209000682IFamily PracticeOKTBD

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
J0897Injection, denosumab, 1 mg1,50016$0
99214Established patient office or other outpatient visit, 30-39 minutes466286$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit175175$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15921$0
99213Established patient office or other outpatient visit, 20-29 minutes10286$0
View full utilization report →

Insurance plans in this area (ZIP 74006)

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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: 2567366495View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for KIMBERLY NICHOLE DAVIS (MD)?
KIMBERLY NICHOLE DAVIS (MD) — NPI 1033435912 — is the standard way to identify this listing.
Can I rely on KIMBERLY NICHOLE DAVIS (MD) being an active provider?
As of the registry snapshot, KIMBERLY NICHOLE DAVIS (MD) is marked active.
What healthcare role does KIMBERLY NICHOLE DAVIS (MD) hold?
Scheduling teams often label KIMBERLY NICHOLE DAVIS (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KIMBERLY NICHOLE DAVIS (MD) list a practice location?
Patients near Bartlesville, Oklahoma may find KIMBERLY NICHOLE DAVIS (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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