Jennifer Lynn Davis, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F310104-01 Issued in NY

Practice address

13611 Schang Rd
East Aurora, NY 14052-9595

Phone

(845) 996-8176

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• JD Services Nurse Practitioner in Adult Health PLLC

  • Adult Health Nurse Practitioner
  • Valley Cottage, NY
  • NPI 1407736226
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1366048357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "845-996-8176",
            "fax_number": "718-362-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 SCHANG RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529595",
            "telephone_number": "845-996-8176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 James St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032500",
            "country_code": "US",
            "telephone_number": "844-362-3425",
            "fax_number": "718-414-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310104-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER OFFICE OF PROFESSIONALS",
            "identifier": "F310104-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Creative Wellness Group, LLC
• Kristin Diane Crosson
• Michael John Curry, DPM
• CVS Albany LLC
• George T Danakas, M.D.
• Kyla Davis
• Dawn M Walker, LCSW, PLLC
• Katherine Ann Dechert, M.A. CCC L-SLP
• Janine Desmond, LMT
• Hannah Dlugosz, P.T.

• Adult Health Nurse Practitioner in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.