CAROLYN FAY DAVIDSON (RN, BSN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043440480
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
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Provider Addresses for CAROLYN FAY DAVIDSON (RN, BSN, PMHNP)
West Bluemound Road, Story Hill, Milwaukee, Milwaukee County, Wisconsin, 53208-3061, United States
MILWAUKEE, WI 532264331
Phone: (414) 774-1704
Fax: (414) 873-1385
Type: Mailing
10242, West Bluemound Road, Bluemound Manor, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
MILWAUKEE, WI 53226
Phone: (414) 301-7744
Fax: (414) 873-1385
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 249 Open Payments records for all available years, with a total value of $23,177.
Total Amount is formed as General ($23,177) + Research ($0) + Ownership ($0) = $23,177.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($16,280).
Total Amount
$23,177
General + Research + Ownership
Payments
249
Total payment records
General Amount
$23,177
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $16,280 |
| Teva Pharmaceuticals USA, Inc. | $2,790 |
| Alkermes, Inc. | $620 |
| Otsuka America Pharmaceutical, Inc. | $495 |
| Axsome Therapeutics, Inc. | $276 |
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: 2015-08-21
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 |
|---|---|---|---|---|
| I20150821014300 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 250 | 74 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 19 | 19 | $0 |
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Clinical Social Worker | WI | |
| P S Y C H I A T R Y | WI | |
| Clinical Psychologist | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI |
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