Kelley Rebecca Davis, DNP, RN, CPNP-PC - Medicare Nurse Practitioner in Portland, OR

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Kelley Rebecca Davis, DNP, RN, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 346-0640.

Kelley Rebecca Davis is licensed to practice in Oregon (license number 202000767NP-PP) 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 1043778418.

Contact Information

Kelley Rebecca Davis, DNP, RN, CPNP-PC
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3098
(503) 346-0640
Not Available

Map and Direction




Provider's Profile

Full NameKelley Rebecca Davis
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043778418
  • Provider Enumeration Date: 03/05/2019
  • Last Update Date: 08/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062849003
  • Enrollment ID: I20200303002324

Medical Identifiers

Medical identifiers for Kelley Rebecca Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043778418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 202000767NP-PP (Oregon)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. Kelley Rebecca Davis allows following entities to bill medicare on her behalf.
Entity NameLegacy Emanuel Hospital & Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831112358
PECOS PAC ID: 4587573639
Enrollment ID: O20040127001204

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. Kelley Rebecca 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
Kelley Rebecca Davis, DNP, RN, CPNP-PC
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3098

Ph: () -		Kelley Rebecca Davis, DNP, RN, CPNP-PC
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3098

Ph: (503) 346-0640

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3988    
Ms. Susan Irene Smith, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
Summer Morgan Massina, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209
Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210
Phone: 971-354-9242    
A'lissa Richards, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

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.

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