NPIMap

Individual provider Active NPI

Nicole Davis

  • Obstetrics & Gynecology Physician
  • West Des Moines, IA
National Provider Identifier
1598039547
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4878 Issued in IA
Practice address
4949 Westown Pkwy Ste 140
West Des Moines, IA 50266-6716
Phone
(515) 223-5466
Fax
(515) 223-5405
NPI assigned
Mar 7, 2012
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4878 IA Primary
Hospitalist Physician 208M00000X 4878 IA

Addresses

Primary practice location

4949 Westown Pkwy Ste 140
West Des Moines, IA 50266-6716

Mailing address

4949 Westown Pkwy Ste 140
West Des Moines, IA 50266-6716
Phone (515) 223-5466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20160901001205 IA Practitioner - Obstetrics/Gynecology 8729225099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Des Moines OB/GYN Associates PCGroup PAC ID 3375537129, 13 clinicians

Practice addresses (Care Compare)

4949 Westown Pkwy
Suite 140
West Des Moines, IA 50266-6716
Phone (515) 223-5466

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4878IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Des Moines OB/GYN Associates, P.C. Obstetrics & Gynecology CurrentSince Sep 19, 2016 Accepting new patients
Mercy Clinics, Inc. Obstetrics & Gynecology Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients
Catholic Health Initiatives - Iowa Corp Past Accepting new patients

Locations

111 NW 9th St
Ste 2
Ankeny, IA 50023
Phone (515) 223-5466

4949 Westown Pkwy
Ste 140
West Des Moines, IA 50266
Phone (515) 223-5466

Interoperability endpoints

  • Direct secure messaging: dnicole638613@direct.ochin.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1701
  • Direct secure messaging: ndavis@wdmobgyn.gwaydirect.com
  • Direct secure messaging: ndavis3942858@direct.trinity-health.org

Organizations & group practices 5

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 4

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1598039547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 WESTOWN PKWY STE 140",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666716",
            "telephone_number": "515-223-5466",
            "fax_number": "515-223-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 WESTOWN PKWY STE 140",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666716",
            "telephone_number": "515-223-5466",
            "fax_number": "515-223-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "4878",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "4878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.