Active NPI
Scott Andrew Davis, CRNA
- Certified Registered Nurse Anesthetist
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209010492
- Practice address
- 3301 Broadway St
Quincy, IL 62301-3713 - Phone
- (217) 277-4090
- NPI assigned
- Aug 14, 2013
- Last updated
- Apr 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209010492 | IL | Primary |
Addresses
Primary practice location
3301 Broadway St
Quincy, IL 62301-3713
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other practice location 1
640 W Washington St
Pittsfield, IL 62363-1350
Phone (217) 223-8400
Other practice location 2
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3301 Broadway St
Quincy, IL 62301-3713
Phone (217) 277-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010492 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Lake Ozark Anesthesia & Associates, Inc | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Lake of the Ozarks Pain Management Services, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
1005 Broadway St
Quincy, IL 62301
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Interoperability endpoints
- sdavis804564@direct.unitypoint.org
Organizations & group practices 10
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.
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
- Specialist
- Osage Beach, MO
- NPI 1184719049
-
- Anesthesiology Physician
- Quincy, IL
- NPI 1255515342
-
dba Illini Community Hospital
- Critical Access Hospital
- Pittsfield, IL
- NPI 1720086218
-
dba Women & Family Medical Group
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1205887742
-
dba Memorial Medical Clinic Broadway
- Rural Health Clinic/Center
- Hamilton, IL
- NPI 1679327779
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
dba Quincy Medical Group Barry Affiliate
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Specialist
- Osage Beach, MO
- NPI 1003901976
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1801229729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400",
"fax_number": "217-223-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623013713",
"telephone_number": "217-277-4090"
}
],
"practiceLocations": [
{
"address_1": "640 W Washington St",
"address_purpose": "LOCATION",
"city": "Pittsfield",
"state": "IL",
"postal_code": "623631350",
"country_code": "US",
"telephone_number": "217-223-8400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012834",
"country_code": "US",
"telephone_number": "217-223-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "SCOTT",
"middle_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209010492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.