Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265608251 Individual Practitioner Female Practitioner

Dr. Renee L Davis , DNP, APRN, CPNP-PC

Nurse Practitioner - Pediatrics • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Renee Davis, DNP, APRN, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Belleville, IL. Practice services are available at 3030 FRANK SCOTT PARKWAY WEST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3030 Frank Scott Parkway West
Suite 1

Belleville, IL 622235014

Telephone 6182572550
Fax 6182572569
Associated Practice Facility / Clinic
🏢 David C. Norman Md Inc Facility NPI 1841475746

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Belleville, IL (694 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209-005885

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License IL 036090116

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
209-005885 (IL)
Medicaid State Provider ID
036090116 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1306871660

Doctor of Medicine (M.D.)

Dr. Bernadette Sobczak , DNP, APRN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1649414558

Doctor of Nursing Practice, Advanced Practice Registered Nurse, CPNPPC

Emily Hollenkamp , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1770735219

Registered Nurse, Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 16, 2024

Registered at 3030 FRANK SCOTT PARKWAY WEST, SUITE 1, BELLEVILLE, IL 622235014 (Tel: 6182572550)

📍
Updated Business Mailing Address July 16, 2024

Registered at 3030 FRANK SCOTT PARKWAY WEST, SUITE 1, BELLEVILLE, IL 622235014 (Tel: 6182572550)

👤
Provider Name / Credentials Updated July 16, 2024

Recorded as RENEE DAVIS, DNP, APRN, CPNP-PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2024

Nurse Practitioner (License #036090116 in IL)

NPI Profile Active April 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2008

Registered at 4600 MEMORIAL DRIVE, SUITE G60, BELLEVILLE, IL 622265366 (Tel: 6182572550)

📍
Updated Business Mailing Address April 30, 2008

Registered at 4600 MEMORIAL DRIVE, SUITE G60, BELLEVILLE, IL 622265366 (Tel: 6182572550)

👤
Provider Name / Credentials Updated April 30, 2008

Recorded as RENEE DAVIS, MSN RN CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2008

Nurse Practitioner

🟢
Initial NPI Registration & Enumeration April 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265608251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2008
Last Update: July 16, 2024
Sole Proprietor: No

Mailing Address

3030 Frank Scott Parkway West, Suite 1

Belleville, IL 622235014

Phone: 6182572550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.