Nicholas Davis, ACNPC-AG

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

262759 Issued in AZ

Practice address

1325 N Litchfield Rd Ste 130
Goodyear, AZ 85395-1215

Phone

(602) 249-8577

NPI assigned

May 3, 2024

Sex

Male

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 AZ

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VHS Outpatient Clinics Inc 206 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• VHS Outpatient Clinics, Inc.

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1912979964

  AZ

  Medicare reassignment Care Compare group NPD
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1891302790
  Care Compare group NPD
• Rabadi Physicians PLLC

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1023891710

  AZ

  Medicare reassignment
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
  • NPI 1356283543
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
  • NPI 1568078657
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1679429211
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1881200970
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Goodyear, AZ
  • NPI 1881540425
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Buckeye, AZ
  • NPI 1962358507
  Care Compare group

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

• Community Hospital Association, Inc.

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1780431007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 130",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951215",
            "telephone_number": "602-249-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 130",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951215",
            "telephone_number": "602-249-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICHOLAS",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "262759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Davis
• Brendan Davis, PA-C
• Cameron Teutschel Davis, MD
• Jennifer A Davis, PA
• Michael A. Davis, DC
• Sharon Renae Davis, FNP - BC
• Dawn Institute, LLC
• Kristina Marie Dawson, RN BSN
• Michael Hyde Day, DMD
• Ammer Mountasir Dbeis, DO

• All providers in Goodyear, AZ
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.