NICOLE DAVIS (MD) – Family Medicine Physician, NPI 1275572901

NICOLE DAVIS (MD) is a healthcare provider. based in Wyncote, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD418582 (PA). The NPI Number for NICOLE DAVIS (MD) is 1275572901

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE DAVIS (MD)
NPI
1275572901
Phone
(215) 884-8815
Address
2827 W CHELTENHAM AVE
Enumeration Date
6 June 2006
Last Update Date
10 November 2011

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2157072098
Graduation Year
1999 (27 years ago)
PAC ID
0547159113
Group Practice PAC ID
0345588711
Professional Enrollment ID
I20070907000046
Address ID
PA191272123PH10XXXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for NICOLE DAVIS (MD)

  • 2827 W CHELTENHAM AVE

    WYNCOTE, PA 190952932

    Phone: (215) 884-8815

    Fax: (215) 884-5550

    Mailing address matches the actual address.

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 $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-01-16 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($133).

Total Amount

$160

General + Research + Ownership

Payments

2

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-16

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: 2007-09-07

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
I20070907000046IFamily PracticePATBD

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 minutes203146$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes9654$0
99213Established patient office or other outpatient visit, 20-29 minutes7163$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6226$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5736$0
View full utilization report →

Insurance plans in this area (ZIP 19095)

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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: 0345588711View full group profile
NameSpecialtyState
Internal MedicinePA
A N E S T H E S I O L O G YPA
Pulmonary Disease, Critical Care (Intensivists), HospitalistPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
Pulmonary Disease, Critical Care (Intensivists)PA
General SurgeryPA
-PA
P A T H O L O G YPA
-PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE DAVIS (MD)?
NICOLE DAVIS (MD) — NPI 1275572901 — is the standard way to identify this listing.
Does the file indicate NICOLE DAVIS (MD) is practicing under active NPI?
Directory data currently reports NICOLE DAVIS (MD) as active.
What taxonomy line describes NICOLE DAVIS (MD)?
For research purposes, treat NICOLE DAVIS (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE DAVIS (MD)?
NICOLE DAVIS (MD)'s geographic hint is Wyncote, Pennsylvania in our summary view.
Is the information about NICOLE DAVIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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