Ms Dietrich Davis, DNP, RN, MSN, FNP-BC - Medicare Nurse Practitioner in Pearland, TX

Ms Dietrich Davis, DNP, RN, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Pearland, Texas. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kelsey-seybold Medical Group, Pllc and her current practice location is 12003 Fountain Brook Dr, Pearland, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 436-1195.

Ms Dietrich Davis is licensed to practice in Texas (license number 659406) 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 1669707022.

Contact Information

Ms Dietrich Davis, DNP, RN, MSN, FNP-BC
12003 Fountain Brook Dr,
Pearland, TX 77584-8768
(713) 436-1195
Not Available

Map and Direction




Provider's Profile

Full NameMs Dietrich Davis
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location12003 Fountain Brook Dr, Pearland, Texas
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:
  • Ms Dietrich Davis graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1669707022
  • Provider Enumeration Date: 10/02/2009
  • Last Update Date: 09/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426195983
  • Enrollment ID: I20091102000578

Medical Identifiers

Medical identifiers for Ms Dietrich Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669707022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP118294 (Texas)Secondary
363LF0000XNurse Practitioner - Family 659406 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kelsey-seybold Medical Group, Pllc9739093527614

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. Ms Dietrich Davis allows following entities to bill medicare on her behalf.
Entity NameKelsey-seybold Medical Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013915255
PECOS PAC ID: 9739093527
Enrollment ID: O20031117000204

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. Ms Dietrich 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
Ms Dietrich Davis, DNP, RN, MSN, FNP-BC
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298

Ph: (713) 442-0000
Ms Dietrich Davis, DNP, RN, MSN, FNP-BC
12003 Fountain Brook Dr,
Pearland, TX 77584-8768

Ph: (713) 436-1195

Reviews and Comments


Nurse Practitioner Nurses in Pearland, TX

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Adrian Nwosu,
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Medicare: Medicare Enrolled
Practice Location: 11601 Shadow Creek Pkwy Ste 111-177, Pearland, TX 77584
Phone: 832-971-6007    Fax: 832-697-1792

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.