Angie Davis, NP-C - Medicare Nurse Practitioner in Santa Rosa, CA

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Angie Davis, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Santa Rosa, California. Her current practice location is 2800 Cleveland Ave Ste A, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (079) 217-4477.

Angie Davis is licensed to practice in California (license number 95011083) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770049165.

Contact Information

Angie Davis, NP-C
2800 Cleveland Ave Ste A,
Santa Rosa, CA 95403-2784
(079) 217-4477
Not Available

Map and Direction




Provider's Profile

Full NameAngie Davis
GenderFemale
SpecialityNurse Practitioner - Family
Location2800 Cleveland Ave Ste A, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770049165
  • Provider Enumeration Date: 02/11/2019
  • Last Update Date: 05/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133462716
  • Enrollment ID: I20190522002789

Medical Identifiers

Medical identifiers for Angie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770049165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95011083 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angie Davis allows following entities to bill medicare on her behalf.
Entity NamePetaluma Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588656268
PECOS PAC ID: 9133180375
Enrollment ID: O20050315000415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angie Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angie Davis, NP-C
2800 Cleveland Ave Ste A,
Santa Rosa, CA 95403-2784

Ph: (707) 921-7447		Angie Davis, NP-C
2800 Cleveland Ave Ste A,
Santa Rosa, CA 95403-2784

Ph: (079) 217-4477

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.