DANNY WALTHER DAVIS (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1598524464

DANNY WALTHER DAVIS (CRNP) is a healthcare provider. based in Kingston, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP029356 (PA). The NPI Number for DANNY WALTHER DAVIS (CRNP) is 1598524464

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DANNY WALTHER DAVIS (CRNP)
NPI
1598524464
Phone
(570) 552-3760
Address
562 WYOMING AVE
Enumeration Date
14 March 2024
Last Update Date
15 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5703463686
Graduation Year
2023 (3 years ago)
PAC ID
6204376734
Group Practice PAC ID
5991791212
Professional Enrollment ID
I20240910004542
Address ID
PA185071707MO340XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for DANNY WALTHER DAVIS (CRNP)

  • 562 WYOMING AVE

    KINGSTON, PA 187043721

    Phone: (570) 552-3760

    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 10 Open Payments records for all available years, with a total value of $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch Health US, LLC ($51).

Total Amount

$200

General + Research + Ownership

Payments

10

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2024-09-10

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
I20240910004542INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18704)

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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: 5991791212View full group profile
NameSpecialtyState
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Nurse Practitioner, Clinical PsychologistPA
P S Y C H I A T R YPA
-PA
Clinical Social WorkerPA
P S Y C H I A T R YPA
Clinical Social WorkerPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

How do I look up DANNY WALTHER DAVIS (CRNP) by NPI?
Use NPI 1598524464 when you need to reference DANNY WALTHER DAVIS (CRNP) in forms, claims, or directories.
Does this profile mean DANNY WALTHER DAVIS (CRNP) is currently active?
Yes — DANNY WALTHER DAVIS (CRNP) appears active in the national provider directory.
Does DANNY WALTHER DAVIS (CRNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for DANNY WALTHER DAVIS (CRNP). Clinical services aligned with this taxonomy classification.
What location shows for DANNY WALTHER DAVIS (CRNP)?
We surface Kingston, Pennsylvania for DANNY WALTHER DAVIS (CRNP) based on available NPPES addresses.
What if Kingston, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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