SUSAN JEAN DAVIS (PMHNP-BC) – Psychiatry Physician, NPI 1639739980

SUSAN JEAN DAVIS (PMHNP-BC) is a healthcare provider. based in Killeen, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. AP140923 (TX). The NPI Number for SUSAN JEAN DAVIS (PMHNP-BC) is 1639739980

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN JEAN DAVIS (PMHNP-BC)
NPI
1639739980
Phone
(254) 519-8107
Address
2201 CLEAR CREEK RD
Enumeration Date
18 June 2019
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
1456688803
Professional Enrollment ID
I20260303000169
Address ID
MI495199606WY5900XSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SUSAN JEAN DAVIS (PMHNP-BC)

  • 2201 CLEAR CREEK RD

    KILLEEN, TX 765494110

    Phone: (254) 519-8107

    Type: Mailing

  • 2407 CLEAR CREEK RD

    KILLEEN, TX 765495721

    Phone: (254) 519-8803

    Type: Location

  • 2806 CLOVER LN

    ARLINGTON, TX 760151921

    Phone: (817) 902-4032

    Type: Mailing

  • Medical Center Drive, McKinney, Collin County, Texas, 75070-4501, United States

    MCKINNEY, TX 750691886

    Phone: (817) 902-4032

    Type: Location

  • 3500 South IH 35

    Belton, TX 765139426

    Phone: (254) 939-2100

    Fax: (254) 939-2334

    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 $587.

Total Amount is formed as General ($587) + Research ($0) + Ownership ($0) = $587.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($248).

Total Amount

$587

General + Research + Ownership

Payments

16

Total payment records

General Amount

$587

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

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: 2026-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190808001702INurse PractitionerTXTBD
I20240429001262INurse PractitionerMNTBD
I20260303000169INurse PractitionerMITBD

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 minutes6525$0
View full utilization report →

Insurance plans in this area (ZIP 76549)

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Reviews

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Frequently asked questions

What number should I use to identify SUSAN JEAN DAVIS (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1639739980 for SUSAN JEAN DAVIS (PMHNP-BC).
Quick check: is SUSAN JEAN DAVIS (PMHNP-BC) active?
Public NPPES data shows SUSAN JEAN DAVIS (PMHNP-BC) with an active NPI status right now.
How should patients interpret SUSAN JEAN DAVIS (PMHNP-BC)'s specialty?
The extract shows Psychiatry Physician for SUSAN JEAN DAVIS (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Can patients visit SUSAN JEAN DAVIS (PMHNP-BC) in Killeen, Texas?
For routing, start with Killeen, Texas for SUSAN JEAN DAVIS (PMHNP-BC), then verify phone and hours locally.
Why is information missing for SUSAN JEAN DAVIS (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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