Stacia Renee Davis, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R096409 Issued in AR

Practice address

7001 Rogers Ave Ste 502
Fort Smith, AR 72903-4041

Phone

(479) 484-5901

Fax

(479) 484-0778

NPI assigned

Mar 5, 2026

Last updated

Jun 5, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AR

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, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mercy Clinic Fort Smith Communities

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1902073620
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1538015359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE STE 502",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034041",
            "telephone_number": "479-484-5901",
            "fax_number": "479-484-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE STE 502",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034041",
            "telephone_number": "479-484-5901",
            "fax_number": "479-484-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 Northfield Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729169126",
            "country_code": "US",
            "telephone_number": "479-227-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STACIA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "R096409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Tyler Davis, PHARM.D.
• Julie Amanda Davis, PHARMD
• Kaylee Chandra Davis, OTA
• Kevin Allen Davis, M.D.
• Schanta Davis, LPC
• Abigale Dawson
• Elizabeth Danielle Dawson, MS, CCC-SLP
• Amanda Day, APRN, FNP-C
• DB Performance Consulting (Anchored Hope Counseling)
• DB PLLC

• Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.