KRISTINA MOUCH DAVIS (NP) – Nurse Practitioner, NPI 1588014823
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for KRISTINA MOUCH DAVIS (NP)
PO BOX 961205
FORT WORTH, TX 761611205
Phone: (817) 740-8450
Type: Mailing
1650 W COLLEGE ST # 54
GRAPEVINE, TX 760513565
Phone: (817) 388-3600
Fax: (817) 388-3610
Type: Location
2710 Swiss Ave
Dallas, TX 752045900
Phone: (148) 211-5992
Fax: (148) 218-9852
Type: Location
6019, Velasco Avenue, Lower Greenville, Dallas, TX, Dallas, Dallas County, Texas, 75206, United States
DALLAS, TX 752066331
Phone:
Type: Mailing
2710, Swiss Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75214, United States
DALLAS, TX 752045900
Phone: (148) 211-5992
Fax: (148) 218-9852
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $892.
Total Amount is formed as General ($892) + Research ($0) + Ownership ($0) = $892.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($521).
Total Amount
$892
General + Research + Ownership
Payments
16
Total payment records
General Amount
$892
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MERZ NORTH AMERICA, INC. | $521 |
| Merz North America, Inc. | $347 |
| Organogenesis Inc. | $23 |
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: 2017-07-19
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 |
|---|---|---|---|---|
| I20170719002745 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 76161)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| General Surgery, Colorectal Surgery (Proctology) | TX | |
| O P H T H A L M O L O G Y | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Orthopedic Surgery | TX |
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