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Active NPI 1922516723 Individual Practitioner Female Practitioner

Keitha Davis , APRN, FNP-BC, FPA

Nurse Practitioner • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Keitha Davis, APRN, FNP-BC, FPA is a certified Nurse Practitioner practicing in Chicago, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Keitha Davis delivers high-quality medical care to the local community at 1009 S WOOD ST FL 2.

Keitha Davis is affiliated with The Board Of Trustees Of The University Of Illinois and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1009 S Wood St Fl 2

Chicago, IL 606123747

Telephone 3129962779
Fax 3123552983
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Chicago, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +0.1 yrs vs City Avg
City Avg: 8.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
961 Specialists

Practicing in Chicago, IL (4929 Statewide)

Telehealth Adoption Rate
19.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
83.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (9 Years) 9 Yrs
Chicago Specialty Average (8.9 Years) 8.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
95 78 $553.47 $85.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
46 46 $748.43 $117.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 20 $551.76 $108.51

Medical Specialties & State Licenses

CMS Verified: 2025-04-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277001627

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 277001627

Definition to come...

Hospital & Practice Group Affiliations

The Board Of Trustees Of The University Of Illinois

1009 S Wood St, Chicago, IL 606123747

Phone: 8666002273

Practice Associates & Co-Workers

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

5 Associated Practitioners
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Dr. Ahmet Yilmaz , MD

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NPI 1447065222

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Christa Mustapha , NP

Nurse Practitioner

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Nurse Practitioner

Career & Practice History Timeline

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

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2025

Nurse Practitioner (License #277001627 in IL)

📍
Updated Practice Location December 04, 2023

Registered at 1009 S WOOD ST FL 2, CHICAGO, IL 606123747 (Tel: 3129962779)

📍
Updated Business Mailing Address December 04, 2023

Registered at 1009 S WOOD ST FL 2, CHICAGO, IL 606123747 (Tel: 3129962779)

👤
Provider Name / Credentials Updated December 04, 2023

Recorded as KEITHA DAVIS, APRN, FNP-BC, FPA

📍
Updated Practice Location June 30, 2022

Registered at 1020 E OGDEN AVE STE 301, NAPERVILLE, IL 605638611 (Tel: 6307901221)

📍
Updated Practice Location April 14, 2022

Registered at 25 N WINFIELD RD STE 405, WINFIELD, IL 601901379 (Tel: 6307901221)

📍
Updated Business Mailing Address April 14, 2022

Registered at 1860 PAYSHERE CIRCLE, CHICAGO, IL 606740001 (Tel: 6304699200)

📍
Updated Business Mailing Address December 27, 2021

Registered at 17901 GOVERNORS HWY STE 102, HOMEWOOD, IL 604301145 (Tel: 7089570220)

👤
Provider Name / Credentials Updated December 27, 2021

Recorded as KEITHA DAVIS, APN, FNP-BC

NPI Profile Active January 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2018

Registered at 17901 GOVERNORS HWY STE 202, HOMEWOOD, IL 604301146 (Tel: 7089570220)

📍
Updated Business Mailing Address January 14, 2018

Registered at 17901 GOVERNORS HWY STE 202, HOMEWOOD, IL 604301146 (Tel: 7089570220)

👤
Provider Name / Credentials Updated January 14, 2018

Recorded as KEITHA FARLEY, APN, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2018

Nurse Practitioner (License #209017061 in IL)

🟢
Initial NPI Registration & Enumeration January 14, 2018

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: 1922516723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2018
Last Update: April 10, 2025
Sole Proprietor: No

Mailing Address

1009 S Wood St Fl 2

Chicago, IL 606123747

Phone: 3129962779

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.