NPIMap

Individual provider Active NPI

Deborah Davis, CNP

  • Nurse Practitioner
  • Harrisburg, IL
National Provider Identifier
1467592907
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.002050 Issued in IL
Practice address
250 Small St
Harrisburg, IL 62946-3319
Phone
(618) 294-8264
Fax
(618) 294-8265
NPI assigned
Feb 7, 2007
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209002050 IL
Nurse Practitioner 363L00000X 209.002050 IL Primary

Addresses

Primary practice location

250 Small St
Harrisburg, IL 62946-3319

Mailing address

1201 Pine St
Eldorado, IL 62930-1634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000822 IL Practitioner - Nurse Practitioner 6608056577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1338 Il Hwy 1
Suite B
Carmi, IL 62821-4902
Phone 61827333611660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.002050ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrell Hospital Community Foundation Nurse Practitioner CurrentSince Sep 6, 2022 Accepting new patients
Ferrell Hospital Community Foundation Current Accepting new patients
Ferrell Hospital Community Foundation Nurse Practitioner CurrentSince Sep 6, 2022 Accepting new patients
Ferrell Hospital Community Foundation PastSince Sep 6, 2022 Accepting new patients

Locations

1338 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 370-9321

1338 IL Highway 1
Ste B
Carmi, IL 62821
Phone 61827333611660

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

1300 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-9305

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

250 Small St
Harrisburg, IL 62946
Phone (618) 252-4000

Interoperability endpoints

  • Direct secure messaging: ddavis210660@direct.deaconess.com

Organizations & group practices 4

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

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1467592907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PINE ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SMALL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463319",
            "telephone_number": "618-294-8264",
            "fax_number": "618-294-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209002050",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.002050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

Verify at the official NPI Registry.