Active NPI
Jordan Davis, NP
- Family Nurse Practitioner
- Warsaw, KY
National Provider Identifier
1295519791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4010954
- Practice address
- 204 Franklin St
Warsaw, KY 41095 - Phone
- (859) 904-0033
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71014365A | IN | |
| Family Nurse Practitioner | 363LF0000X | 4010954 | KY | Primary |
Addresses
Primary practice location
204 Franklin St
Warsaw, KY 41095
Mailing address
PO Box 309
Warsaw, KY 41095-0309
Phone (859) 904-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 63.09 of 100
- Quality
- 45.91
- Improvement activities
- 40
- Cost
- 76.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014365A | IN | MD | Family Nurse Practitioner |
| 4010954 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Norton - Kings Daughters Health Inc | Nurse Practitioner | Current | Accepting new patients |
| Tristate Pathology and Forensic Services LLC | Current | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
601 Broadway St
Ste 6
Madison, IN 47250
Organizations & group practices 3
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 Medicine Physician
- Madison, IN
- NPI 1114955093
Nurse Practitioner
-
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceburg, IN
- NPI 1649720244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1295519791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "WARSAW",
"state": "KY",
"postal_code": "410950309",
"telephone_number": "859-904-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 FRANKLIN ST",
"city": "WARSAW",
"state": "KY",
"postal_code": "41095",
"telephone_number": "859-904-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JORDAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71014365A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4010954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.