JENNA LOGAN DAVISON (PA) – Physician Assistant, NPI 1417293960

JENNA LOGAN DAVISON (PA) is a healthcare provider. based in Ft worth, Texas. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA08103 (TX). The NPI Number for JENNA LOGAN DAVISON (PA) is 1417293960

Main info

Female
Name
JENNA LOGAN DAVISON (PA)
NPI
1417293960
Phone
(817) 263-0007
Address
7801 OAKMONT BLVD
Enumeration Date
2 January 2013
Last Update Date
17 November 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for JENNA LOGAN DAVISON (PA)

  • 7801 OAKMONT BLVD

    STE 101

    FT WORTH, TX 761324204

    Phone: (817) 263-0007

    Fax: (817) 263-1118

    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)

CMS reports 213 Open Payments records for all available years, with a total value of $4,316.

Total Amount is formed as General ($4,316) + Research ($0) + Ownership ($0) = $4,316.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($597).

Total Amount

$4,316

General + Research + Ownership

Payments

213

Total payment records

General Amount

$4,316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2013-03-13

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
I20130313000038IPhysician AssistantTXTBD

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 76132)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How is JENNA LOGAN DAVISON (PA) identified in CMS data?
CMS-hosted NPPES data lists JENNA LOGAN DAVISON (PA) with NPI 1417293960.
Is JENNA LOGAN DAVISON (PA) still practicing?
JENNA LOGAN DAVISON (PA) is currently listed as active in the public NPI registry.
What is JENNA LOGAN DAVISON (PA)'s primary classification?
Physician Assistant is the headline specialty for JENNA LOGAN DAVISON (PA) here. Clinical services aligned with this taxonomy classification.
Does JENNA LOGAN DAVISON (PA) list a practice location?
Patients near Ft Worth, Texas may find JENNA LOGAN DAVISON (PA) in results; validate coverage separately.
Is the information about JENNA LOGAN DAVISON (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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