Mrs Katilyn Marie Davis, CNP - Medicare Nurse Practitioner in Brooklyn Park, MN

Mrs Katilyn Marie Davis, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Brooklyn Park, Minnesota. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Consultative Health And Medicine Pa and her current practice location is 10617 Kyle Ave N, Brooklyn Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 802-4972.

Mrs Katilyn Marie Davis is licensed to practice in Minnesota (license number R188521-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043395361.

Contact Information

Mrs Katilyn Marie Davis, CNP
10617 Kyle Ave N,
Brooklyn Park, MN 55443-1249
(612) 802-4972
Not Available

Map and Direction




Provider's Profile

Full NameMrs Katilyn Marie Davis
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location10617 Kyle Ave N, Brooklyn Park, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Katilyn Marie Davis graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1043395361
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 04/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4082831136
  • Enrollment ID: I20140813001041

Medical Identifiers

Medical identifiers for Mrs Katilyn Marie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043395361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology R188521-1 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Interim Healthcare Of The Twin CitiesRoseville, MNHome health agency
Fairview Home Care And HospiceMinneapolis, MNHome health agency
Brighton HospiceSaint louis park, MNHospice
Park Nicollet Methodist HospitalSaint louis park, MNHospital
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Consultative Health And Medicine Pa630502437310

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. Mrs Katilyn Marie Davis allows following entities to bill medicare on her behalf.
Entity NameConsultative Health And Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710281647
PECOS PAC ID: 6305024373
Enrollment ID: O20110621000580

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. Mrs Katilyn Marie 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
Mrs Katilyn Marie Davis, CNP
5320 W 23rd St, Ste 130,
St Louis Park, MN 55416-1670

Ph: (952) 345-3213
Mrs Katilyn Marie Davis, CNP
10617 Kyle Ave N,
Brooklyn Park, MN 55443-1249

Ph: (612) 802-4972

Reviews and Comments


Nurse Practitioner Nurses in Brooklyn Park, MN

Abagael Marie Snyder, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443
Phone: 612-873-6963    
Ms. Roxanna Y. Plouff, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443
Phone: 763-425-1211    Fax: 763-425-6277
Pang Houa Lee-vang, NP
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Medicare: Medicare Enrolled
Practice Location: 4108 81st Ave N, Brooklyn Park, MN 55443
Phone: 612-281-8727    
Dr. Christopher Michael Kissell, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443
Phone: 763-528-6999    
Alade Lateef Hamza, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443
Phone: 764-377-8151    
Lindsey Dawes, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443
Phone: 612-873-6963    

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.