MARY M DAVIS (FNP) – Family Nurse Practitioner, NPI 1588856629

MARY M DAVIS (FNP) is a healthcare provider. based in Victoria, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0001190763 (VA). The NPI Number for MARY M DAVIS (FNP) is 1588856629

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MARY M DAVIS (FNP)
NPI
1588856629
Phone
(434) 696-2165
Address
1508 K-V ROAD
Enumeration Date
13 August 2007
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8042766900
Graduation Year
2007 (19 years ago)
PAC ID
4880782960
Group Practice PAC ID
3577465202
Professional Enrollment ID
I20071127000234
Address ID
VA231123300MI10130RDXX400
Telehealth
Yes

Contacts

Secure Messaging
MARY.DAVIS@hca6.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for MARY M DAVIS (FNP)

  • 1508, K-V Road, Victoria, Lunenburg County, Virginia, 23974, United States

    VICTORIA, VA 23974

    Phone: (434) 696-2165

    Fax: (434) 696-1557

    Type: Mailing

  • 1508 K V RD

    VICTORIA, VA 239742624

    Phone: (434) 696-2165

    Fax: (434) 696-1557

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $2,303.

Total Amount is formed as General ($2,303) + Research ($0) + Ownership ($0) = $2,303.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($446).

Total Amount

$2,303

General + Research + Ownership

Payments

121

Total payment records

General Amount

$2,303

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2007-11-27

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

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
I20071127000234INurse PractitionerVATBD

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 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 23974)

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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: 3577465202View full group profile

Reviews

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Frequently asked questions

What identifier follows MARY M DAVIS (FNP) across health systems?
The NPI 1588856629 uniquely identifies MARY M DAVIS (FNP) in U.S. healthcare data.
Is MARY M DAVIS (FNP)'s NPI status active today?
Active status means MARY M DAVIS (FNP)'s NPI record is not deactivated in the public file.
What does the directory say MARY M DAVIS (FNP) does?
Insurance directories may phrase it differently, but here MARY M DAVIS (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MARY M DAVIS (FNP) in Victoria, Virginia?
For routing, start with Victoria, Virginia for MARY M DAVIS (FNP), then verify phone and hours locally.
Who maintains MARY M DAVIS (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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