Individual provider Active NPI

Deborah Ann Davis, CRNP

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1871652313
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R093623 Issued in MD
Practice address
7350 Van Dusen Rd Ste 110
Laurel, MD 20707
Phone
(301) 498-8880
Fax
(301) 498-7939
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R093623 MD Primary

Addresses

Primary practice location

7350 Van Dusen Rd Ste 110
Laurel, MD 20707

Mailing address

7350 Vandusen Rd Suite 110
Laurel, MD 20707
Phone (301) 498-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101117000021 DC Practitioner - Nurse Practitioner 8123213121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medpeds, LLCGroup PAC ID 9537352554, 10 clinicians

Practice addresses (Care Compare)

7350 Van Dusen Rd
Suite 110
Laurel, MD 20707-5267
Phone (301) 498-8880

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R093623MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medpeds, LLC CurrentSince Sep 7, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7350 Van Dusen Rd
Ste 110
Laurel, MD 20707
Phone (301) 498-8880

7350 Van Dusen Rd
Ste 130
Laurel, MD 20707
Phone (301) 498-8880

Interoperability endpoints

  • Direct secure messaging: deborah.davis@ml.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1871652313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VANDUSEN RD SUITE 110",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-498-8880",
            "fax_number": "301-498-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD STE 110",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-498-8880",
            "fax_number": "301-498-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R093623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.