KALEB HEATH DAVIS (FNP-C) – Family Nurse Practitioner, NPI 1356007660

KALEB HEATH DAVIS (FNP-C) is a healthcare provider. based in Hamilton, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1057760 (TX). The NPI Number for KALEB HEATH DAVIS (FNP-C) is 1356007660

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KALEB HEATH DAVIS (FNP-C)
NPI
1356007660
Phone
Not provided
Address
400 N BROWN ST
Enumeration Date
10 November 2021
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
8628468253
Group Practice PAC ID
2062326234
Professional Enrollment ID
I20211214000597
Address ID
TX765311518HA400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KALEB HEATH DAVIS (FNP-C)

  • 400 N BROWN ST

    HAMILTON, TX 765311518

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-12-14

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
I20211214000597INurse PractitionerTXTBD

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 76531)

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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: 2062326234View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
Mental Health CounselorTX
Physician AssistantTX
Physician AssistantTX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Emergency MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to KALEB HEATH DAVIS (FNP-C)?
NPI 1356007660 is assigned to KALEB HEATH DAVIS (FNP-C) under the national enumeration system.
Is KALEB HEATH DAVIS (FNP-C) active in the national directory?
KALEB HEATH DAVIS (FNP-C)'s public NPI profile is in an active state.
What does KALEB HEATH DAVIS (FNP-C) treat or focus on?
Patients typically see KALEB HEATH DAVIS (FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KALEB HEATH DAVIS (FNP-C)?
The page summarizes Hamilton, Texas for KALEB HEATH DAVIS (FNP-C); expand the address list for detail.
Is KALEB HEATH DAVIS (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1356007660. Always confirm identity and privileges with the practice and licensing boards.

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