Individual provider Active NPI

Summer Beckett Davies, RN, MSN, APRN

  • Acute Care Nurse Practitioner
  • Port Jefferson Station, NY
National Provider Identifier
1851945356
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F432320-01 Issued in NY
Practice address
5225 Nesconset Hwy Ste 23
Port Jefferson Station, NY 11776-2058
Phone
(631) 473-8880
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN245829 GA
Acute Care Nurse Practitioner 363LA2100X F432320-01 NY Primary

Addresses

Primary practice location

5225 Nesconset Hwy Ste 23
Port Jefferson Station, NY 11776-2058

Mailing address

496 Smithtown Byp
Smithtown, NY 11787-5005
Phone (631) 979-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250303001805 NY Practitioner - Nurse Practitioner 9537680814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

2112 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 468-6900

Hospital & facility affiliations

  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN245829GAMDAcute Care Nurse Practitioner
F432320-01NYMDAcute Care Nurse Practitioner

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Feb 10, 2025 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Millennium Medical Professionals, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

500 Commack Rd
Unit 150E
Commack, NY 11725

55 Medford Ave
Patchogue, NY 11772
Phone (631) 569-8325

5225 Route 347
Ste 23
Port Jefferson Station, NY 11776
Phone (631) 473-8880

200 Belle Terre Rd
Ste 100
Prt Jefferson, NY 11777
Phone (631) 331-6090

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

496 Smithtown Byp
Ste 101
Smithtown, NY 11787
Phone (631) 880-1365

496 Smithtown Byp
Smithtown, NY 11787
Phone (631) 360-8000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: sdavies143385@direct-chsli.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1851945356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875005",
            "telephone_number": "631-979-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY STE 23",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762058",
            "telephone_number": "631-473-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "SUMMER",
        "middle_name": "BECKETT",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN245829",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F432320-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.