MRS. CARLA DAVIS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457901639
Psychiatric/Mental Health Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. CARLA DAVIS (APRN)
200, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States
GEORGETOWN, TX 786266821
Phone: (512) 686-0207
Type: Mailing
Nola Ruth Boulevard, Harker Heights, Bell County, Texas, 76548, United States
HARKER HEIGHTS, TX 765486074
Phone: (877) 800-5722
Type: Location
850 SOUTHAMPTON AVE
NORFOLK, VA 235101021
Phone: (555) 555-5555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-03-15 • Largest payer in this snapshot: ALK-Abello, Inc ($121).
Total Amount
$165
General + Research + Ownership
Payments
2
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ALK-Abello, Inc | $121 |
| Genentech USA, Inc. | $44 |
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: 2024-10-24
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 |
|---|---|---|---|---|
| I20241024003646 | I | Nurse Practitioner | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78626)
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