NINA DAVIS (NP) – Adult Health Nurse Practitioner, NPI 1265090922

Adult Health Nurse Practitioner

NINA DAVIS (NP) is a healthcare provider. based in Sandy, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 816789 (NV). The NPI Number for NINA DAVIS (NP) is 1265090922

Main info

Female

9 Years Of Experience

Accepts Medicare Assignment

Name

NINA DAVIS (NP)

NPI

1265090922

Phone

Not provided

Address

1247 E MOCKINGBIRD LN

Enumeration Date

29 May 2019

Last Update Date

16 October 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8015079310

Graduation Year

2017 (9 years ago)

PAC ID

5991125288

Group Practice PAC ID

1850209420

Professional Enrollment ID

I20201027001381

Address ID

UT841075704MU5171XSTXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience47

Completeness75

Years active:7State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for NINA DAVIS (NP)

Mockingbird Lane, Sandy Township, Clearfield County, Pennsylvania, United States
SANDY, UT 840943118
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: 2020-10-27

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

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
I20201027001381	I	Nurse Practitioner	UT	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.

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 84094)

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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: 1850209420View full group profile

Name	Specialty	State
MR. SARUNAS SLIESORAITIS (DO, PHARM D)	-	OR
BRETT A CHRISTIAN (M.D.)	Diagnostic Radiology	UT
STEPHEN CRAIG MERRELL (M.D., M.P.H.)	Family Practice	UT
MIKHAIL SHIPOTKO (MD)	H O S P I T A L I S T	UT
RICHARD OTT (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	UT
MS. SHARON A KORHEL (APRN)	-	UT
DR. TIMOTHY TRASK (M.D.)	-	UT
JAMES F ORME (MD)	-	UT
JUNE C. STEINVORTH (MD)	Family Practice	UT
RYAN NELSON JONES (M.D.)	-	UT