Elana Davidson, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1031 Issued in MA

Practice address

2 Hospital Dr
Suite 203
Holyoke, MA 01040-6632

Phone

(413) 540-5048

Fax

(413) 540-5049

NPI assigned

Jul 26, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA, DE2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

82.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edavidson24201@beebehealth.direct-ci.com

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.

• Beebe Physician Network Inc.

  dba Beebe Medical Group

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992
  Medicare reassignment Care Compare group
• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  Medicare reassignment NPD
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Medicare reassignment NPD
• Western Mass Physician Associates Inc

  dba Holyoke Medical Group

  • Obstetrics & Gynecology Physician
  • Chicopee, MA
  • NPI 1922009547
  NPD (past)

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

• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1427058098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL DR FL 3",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406601",
            "telephone_number": "413-535-4757",
            "fax_number": "413-535-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "SUITE 203",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406632",
            "telephone_number": "413-540-5048",
            "fax_number": "413-540-5049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Hospital Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "01040",
            "country_code": "US",
            "telephone_number": "413-535-4757",
            "fax_number": "413-535-4758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ELANA",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTH PLAN",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE OF MA",
            "identifier": "000954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "043202198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivanilde Darosa-Kayemba
• Argho Das, MSW
• Leonildo Joao Dasilva Isata
• Michaelia Daubon
• Tess Daugherty
• Celimer Davila Negron, PH.D.
• Christine Davila-Miranda
• Wanda I Davila, MA
• Dayna Davis
• Kari Leigh Redinger Davis

• Physician Assistant in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.