Individual provider Active NPI

Dagny Marie Davis, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1962170845
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80517 Issued in KS
Practice address
2402 E 13TH St N
Wichita, KS 67214-2102
Phone
(316) 462-1050
NPI assigned
Sep 3, 2021
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 80517 KS Primary
Registered Nurse 163W00000X 147090 KS

Addresses

Primary practice location

2402 E 13TH St N
Wichita, KS 67214-2102

Mailing address

2402 E 13TH St N
Wichita, KS 67214-2102

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dagny.davis.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210928001927 KS Practitioner - Nurse Practitioner 1759788144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16575 W 119TH St
Olathe, KS 66061-7770
Phone (913) 815-5508

2402 E 13TH St N
Wichita, KS 67214-2102
Phone (316) 867-6444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147090KSMDRegistered Nurse
80517KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care KS PA CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care KS PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

16575 W 119th St
Olathe, KS 66061
Phone (913) 815-5008

2402 E 13th St N
Wichita, KS 67214
Phone (316) 462-1050

Interoperability endpoints

  • Direct secure messaging: dagny.davis.1@29601.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1962170845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 E 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 E 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142102",
            "telephone_number": "316-462-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAGNY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "80517",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "147090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dagny.davis.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2402 E 13th St N",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672142102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.