Jessie Davis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R-10426 Issued in IA

Practice address

1010 4TH St SW
Suite 340
Mason City, IA 50401-2857

Phone

(641) 428-7766

Fax

(641) 428-7788

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Missouri, Kansas City, School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Health Specialist of Lees Summit LLCGroup PAC ID 1355324625, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Missouri Home health agency, Lees Summit, MO, CCN 267623
• Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Belton Regional Medical Center Hospital, Belton, MO, CCN 260214
• Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
• Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Specialist of Lee'S Summit, LLC

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1871540658
  Medicare reassignment Care Compare group NPD
• Lee'S Summit Family Care LLC

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1619923968
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Missouri, L.L.C.

  • Home Health Agency
  • Lees Summit, MO
  • NPI 1215191598
  Care Compare affiliation
• Midwest Division - LSH, LLC

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation
• Midwest Division - RBH, LLC

  • General Acute Care Hospital
  • Belton, MO
  • NPI 1063470763
  Care Compare affiliation
• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  Care Compare affiliation
• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1275916678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUITE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015405",
            "telephone_number": "641-428-3041",
            "fax_number": "641-428-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST SW",
            "address_2": "SUITE 340",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012857",
            "telephone_number": "641-428-7766",
            "fax_number": "641-428-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JESSIE.DAVIS@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1010 4th St SW",
            "address_2": "SUITE 340",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy J Cross, MD
• Mark D Dankle, DO
• Sepideh Darbandi, DO
• Kaushik Darbha, MD
• Mikala Rae Daskalakis, DO
• Michael Davis
• Kristen Day, RN
• Fnu Dayawa Da Agoons, MD
• Charles A Debrah, MD
• Michael J. Del Rio, M.D.

• Family Medicine Physician in Mason City, IA
• Providers in Mason City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.