JENNIFER A DAVIS NPI 1619490711

NPI Information

  • NPI: 1619490711
  • Provider Name: JENNIFER A DAVIS
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 160 GATEWAY DR
    WAUPUN, WI
    ZIP 53963
  • Phone: (920) 324-9899

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NPI Details

Jennifer A Davis is a gerontology nurse practitioner in Waupun, WI with 9 years of experience. Jennifer A Davis NPI is 1619490711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 GATEWAY DR
WAUPUN, WI
ZIP 53963-276
Phone: (920) 324-9899

The NPI 1619490711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)

The enumeration date for this NPI number is 7/20/2017 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner7769WISCONSINNo
2363LG0600XNurse PractitionerGerontology7769WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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