Miss Nina Simone Davis, APRN PMHP-BC - Medicare Nurse Practitioner in Fayetteville, NC

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Miss Nina Simone Davis, APRN PMHP-BC is a medicare enrolled "Nurse Practitioner" in Fayetteville, North Carolina. Her current practice location is 4250 Clinton Rd Ste 102, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 920-1050.

Miss Nina Simone Davis is licensed to practice in North Carolina (license number 5018787) 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 1265147003.

Contact Information

Miss Nina Simone Davis, APRN PMHP-BC
4250 Clinton Rd Ste 102,
Fayetteville, NC 28312-8517
(910) 920-1050
(910) 920-1051

Map and Direction




Provider's Profile

Full NameMiss Nina Simone Davis
GenderFemale
SpecialityNurse Practitioner
Location4250 Clinton Rd Ste 102, Fayetteville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265147003
  • Provider Enumeration Date: 01/17/2023
  • Last Update Date: 08/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123552759
  • Enrollment ID: I20241105002927

Medical Identifiers

Medical identifiers for Miss Nina Simone Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265147003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) 155605 (North Carolina)Secondary
163WA2000XRegistered Nurse - Administrator 4704206128 (Michigan)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine RN1008379 (District Of Columbia)Secondary
163WP0000XRegistered Nurse - Pain Management RN1008379 (District Of Columbia)Secondary
251B00000XCase Management 155605 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology 5018787 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5018787 (North Carolina)Secondary
363L00000XNurse Practitioner 5018787 (North Carolina)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. Miss Nina Simone Davis allows following entities to bill medicare on her behalf.
Entity NameThe Moses H Cone Memorial Hospital Operating Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356372064
PECOS PAC ID: 6204744600
Enrollment ID: O20031230000300
Entity NameAlamance Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326010273
PECOS PAC ID: 5294647145
Enrollment ID: O20040504000878
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20210429000604

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. Miss Nina Simone 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
Miss Nina Simone Davis, APRN PMHP-BC
1391 Kildaire Farm Rd # 1080,
Cary, NC 27511-5525

Ph: (202) 352-1341		Miss Nina Simone Davis, APRN PMHP-BC
4250 Clinton Rd Ste 102,
Fayetteville, NC 28312-8517

Ph: (910) 920-1050

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.