Nicole Elizabeth Davis, PA-C
Individual provider Active NPI Physician Assistant · Abilene, TX
NPI 1700734191 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1700734191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA20398 (TX)
- Practice address
- 1665 Antilley Rd Ste 260
Abilene, TX 79606-5249 - Phone
- (325) 437-8674
- Fax
- (325) 437-8647
- NPI assigned
- Mar 20, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group West Texas, PLLC
Practice addresses (Care Compare)
1665 Antilley Rd
Suite 205
Abilene, TX 79606-5249
Phone (325) 437-8655
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20260518002090 | TX | Practitioner - Physician Assistant | 6608345830 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20398 | TX | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20398 | TX | Yes |
Addresses
Primary practice location
1665 Antilley Rd Ste 260
Abilene, TX 79606-5249
Mailing address
1665 Antilley Rd
Abilene, TX 79606-5265
Phone (325) 437-8674
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 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.