Deborah Davis, CNP
Individual provider Active NPI Nurse Practitioner · Harrisburg, IL
NPI 1467592907 · NPPES record last updated Mar 26, 2026
Key facts
- NPI
- 1467592907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209.002050 (IL)
- Practice address
- 250 Small St
Harrisburg, IL 62946-3319 - Phone
- (618) 294-8264
- Fax
- (618) 294-8265
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ferrell Hospital Community Foundation
Practice addresses (Care Compare)
1338 Il Hwy 1
Suite B
Carmi, IL 62821-4902
Phone 61827333611660
Hospital & facility affiliations
- Ferrell Hospital Community Foundations
- Harrisburg Medical Center
- Deaconess Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110209000822 | IL | Practitioner - Nurse Practitioner | 6608056577 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.002050 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferrell Hospital Community Foundation | Nurse Practitioner | Current |
Accepting new patients |
| Ferrell Hospital Community Foundation | Current | Accepting new patients | |
| Ferrell Hospital Community Foundation | Nurse Practitioner | Current |
Accepting new patients |
| Ferrell Hospital Community Foundation | Past |
Accepting new patients |
Locations
1338 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 380-9321
1338 IL Highway 1
Ste B
Carmi, IL 62821
Phone 61827333611660
1300 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-9305
1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361
1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360
250 Small St
Harrisburg, IL 62946
Phone (618) 252-4000
Interoperability endpoints
- ddavis210660@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 209002050 | IL | |
| Nurse Practitioner | 363L00000X | 209.002050 | IL | Yes |
Addresses
Primary practice location
250 Small St
Harrisburg, IL 62946-3319
Mailing address
1201 Pine St
Eldorado, IL 62930-1634
Other providers in Harrisburg, IL
- Daniel R Brown
- Mitchel Daniels
- Benna Kaye Daugherty
- Christina Rae Davis
- Danielle Davis
- Karsyn Davis
- Deaconess Illinois Clinic, Inc
- Deaconess Illinois Clinic, Inc
- Deaconess Illinois Specialty Clinic, Inc.
- Deaconess Illinois Specialty Clinic, Inc.
All providers in Harrisburg, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.