Jennifer Ann Davey, M.D.
Individual provider Active NPI Pediatrics Physician · Elkhorn, NE
NPI 1063154151 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1063154151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 36933 (NE)
- Practice address
- 18018 Burke St
Elkhorn, NE 68022-4417 - Phone
- (402) 573-7337
- Fax
- (402) 614-2314
- NPI assigned
- Apr 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18018 Burke St
Elkhorn, NE 68022-4417
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260402001086 | NE | Practitioner - Pediatric Medicine | 9032694534 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36933 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Pointe Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEDHAD/Endpoint/FEDHAD
- tor9030@direct.nyp.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36933 | NE | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
18018 Burke St
Elkhorn, NE 68022-4417
Mailing address
18018 Burke St
Elkhorn, NE 68022-4417
Phone (402) 573-7337
Other practice location 1
3959 Broadway
New York, NY 10032-1559
Phone (212) 305-8504
Other providers in Elkhorn, NE
- Barbara A Dahl
- Joshua D Dahlke
- Immanuel Dangerfield
- Vishakha P Darji
- Katilyn M Davenport
- Kurt A Davey
- Jordan N Davis
- Kathryn Mae Dawson
- Lisa Ann Debban
- Lyndsey G Degenhardt
All providers in Elkhorn, NE · Pediatrics Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.