Active NPI
Alycia Davidson, FNP-C
- Family Nurse Practitioner
- Marquette, MI
National Provider Identifier
1336765387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 47044290096
- Practice address
- 850 W Baraga Ave
Marquette, MI 49855-4550 - Phone
- (906) 449-3000
- NPI assigned
- Jun 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 47044290096 | MI | Primary |
Addresses
Primary practice location
850 W Baraga Ave
Marquette, MI 49855-4550
Mailing address
850 W Baraga Ave
Marquette, MI 49855-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230811002639 | MI | Practitioner - Nurse Practitioner | 3678935376 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- DLP Marquette Physician Practices Inc
Practice addresses (Care Compare)
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3440
Hospital & facility affiliations
- Uphs Marquette DLP Hospital
- Up Health System Portage
- Aspirus Keweenaw Hospital and Clinics
- Bell Hospital
- Osf St Francis Hospital and Medical Group
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47044290096 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients |
Locations
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
850 W Baraga Ave
Ste 20
Marquette, MI 49855
Phone (906) 449-3440
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- alycia.davidson.1@8233.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
MI
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Rural Health Clinic/Center
- Escanaba, MI
- NPI 1679372130
-
- Counselor
- Marquette, MI
- NPI 1730437245
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marquette, MI
- NPI 1073861431
-
- Emergency Medicine Physician
- Marquette, MI
- NPI 1366790727
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694217600000",
"number": "1336765387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W BARAGA AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W BARAGA AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554550",
"telephone_number": "906-449-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "ALYCIA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2023-09-09",
"certification_date": "2023-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "47044290096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; 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.