Deactivated NPI 1689947004 Deactivated / Inactive NPI Female Practitioner

Davida Ann Wilson , FNP-C

Nurse Practitioner • Washington, IN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Davida Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2012

NPI Deactivation Date January 31, 2024

Total Practice Duration ~12 Years of Practice (2012 – 2024)

Professional Overview & Biography Verified Profile Summary

Davida Wilson, FNP-C was a registered Nurse Practitioner practicing in Washington, IN. Throughout an active medical career spanning 12 years, Davida Wilson provided care at the practice location at 1400 GRAND AVE until profile deactivation on 2024-01-31.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, injection, vitamin b-12 cyanocobalamin, up to 1000 mcg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1400 Grand Ave

Washington, IN 475012122

Telephone 8122546696

Fax 8122547934

Associated Practice Facility / Clinic

🏢 Daviess County Hospital Facility NPI 1831257203

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Washington, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.2 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Washington, IN (2620 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

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	193	88	$193.79	$100.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	21	$23.64	$11.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	38	15	$20.00	$1.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$313.00	$106.08
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$130.80	$71.16
81003 Automated urinalysis test	24	20	$9.40	$2.23
99497 Advance care planning, first 30 minutes	24	24	$203.00	$68.70
G0008 Administration of influenza virus vaccine	13	12	$43.00	$27.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	12	11	$95.00	$69.93

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	217	76	$190.13	$103.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	29	$37.27	$11.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	49	16	$20.00	$1.99
99213 Established patient office or other outpatient visit, typically 15 minutes	49	37	$130.51	$73.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$301.33	$103.72
81003 Automated urinalysis test	20	18	$13.40	$2.25

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	291	112	$192.03	$86.86
99213 Established patient office or other outpatient visit, typically 15 minutes	76	45	$123.87	$59.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	27	$50.00	$11.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$278.00	$93.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	36	11	$20.00	$1.88
G0008 Administration of influenza virus vaccine	26	26	$43.00	$15.85
81003 Automated urinalysis test	22	15	$20.00	$2.24
90662 Influenza vaccine split virus, preservative free	15	15	$122.00	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	351	33	$1.51	$0.11
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	319	65	$100.00	$32.26
96375 Injection of additional new drug or substance into vein	316	22	$140.00	$12.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	229	65	$40.52	$12.95
99213 Established patient office or other outpatient visit, typically 15 minutes	224	95	$102.26	$57.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	89	$135.31	$85.02
J7050 Infusion, normal saline solution, 250 cc	134	21	$20.00	$0.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	110	32	$12.29	$1.78
J0696 Injection, ceftriaxone sodium, per 250 mg	96	20	$16.13	$0.58
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	94	11	$120.00	$16.63
J1200 Injection, diphenhydramine hcl, up to 50 mg	64	18	$20.00	$0.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$250.00	$87.92
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	59	17	$22.00	$1.23
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	40	14	$370.00	$54.20
81002 Urinalysis, manual test	27	19	$10.00	$3.41
G0008 Administration of influenza virus vaccine	20	20	$80.05	$15.55
J1030 Injection, methylprednisolone acetate, 40 mg	17	16	$20.71	$6.32
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$84.00	$18.65
99495 Transitional care management services for problem of at least moderate complexity	11	11	$230.64	$129.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	840	12	$40.00	$17.90
96375 Injection of additional new drug or substance into vein	561	38	$140.00	$13.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg	437	37	$1.20	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	281	75	$40.00	$15.86
J2405 Injection, ondansetron hydrochloride, per 1 mg	277	12	$18.00	$0.09
99213 Established patient office or other outpatient visit, typically 15 minutes	275	89	$100.00	$56.10
J7050 Infusion, normal saline solution, 250 cc	249	36	$20.00	$0.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	88	$125.00	$83.22
J0696 Injection, ceftriaxone sodium, per 250 mg	138	25	$10.00	$0.60
96361 Hydration infusion into a vein	137	22	$100.00	$10.54
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	129	42	$12.00	$1.96
J1885 Injection, ketorolac tromethamine, per 15 mg	121	14	$20.00	$0.57
J1200 Injection, diphenhydramine hcl, up to 50 mg	87	24	$20.00	$0.58
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	87	30	$370.00	$55.27
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	85	13	$120.00	$16.91
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	80	24	$22.00	$1.18
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	73	15	$275.00	$35.35
J7030 Infusion, normal saline solution , 1000 cc	67	19	$30.00	$2.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$229.17	$90.44
J1335 Injection, ertapenem sodium, 500 mg	48	11	$150.00	$56.78
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	44	33	$100.00	$32.84
81002 Urinalysis, manual test	40	19	$10.00	$3.41
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	22	11	$30.00	$6.59
99496 Transitional care management services for problem of high complexity	19	13	$250.00	$180.87
J1030 Injection, methylprednisolone acetate, 40 mg	14	11	$20.00	$6.67
94640 Inhalation treatment for airway obstruction or sputum production	14	11	$40.00	$14.17
G0008 Administration of influenza virus vaccine	12	12	$100.00	$19.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2469 Injection, palonosetron hcl, 25 mcg	830	12	$82.00	$21.63
J1750 Injection, iron dextran, 50 mg	800	20	$50.00	$12.60
96375 Injection of additional new drug or substance into vein	741	42	$140.00	$17.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg	683	48	$1.20	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	362	89	$40.00	$19.77
99213 Established patient office or other outpatient visit, typically 15 minutes	361	95	$100.00	$56.91
J2405 Injection, ondansetron hydrochloride, per 1 mg	321	18	$18.00	$0.09
J7050 Infusion, normal saline solution, 250 cc	320	40	$20.00	$0.50
J0696 Injection, ceftriaxone sodium, per 250 mg	265	37	$10.00	$0.66
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	251	22	$120.00	$14.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	79	$125.00	$84.42
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	192	36	$22.00	$1.01
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	147	37	$370.00	$52.79
96361 Hydration infusion into a vein	143	25	$100.00	$11.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	139	52	$12.00	$2.76
J1200 Injection, diphenhydramine hcl, up to 50 mg	122	26	$20.00	$0.62
J1885 Injection, ketorolac tromethamine, per 15 mg	107	18	$20.00	$0.65
J2505 Injection, pegfilgrastim, 6 mg	86	12	$6605.00	$4151.21
96413 Infusion of chemotherapy into a vein up to 1 hour	86	13	$750.00	$104.94
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	64	12	$275.00	$43.77
J7030 Infusion, normal saline solution , 1000 cc	63	12	$30.00	$2.01
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	51	13	$190.00	$23.74
J1030 Injection, methylprednisolone acetate, 40 mg	32	23	$20.00	$5.71
G0008 Administration of influenza virus vaccine	31	31	$100.00	$23.63
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$100.00	$18.65
81002 Urinalysis, manual test	16	13	$10.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$128.56

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71003870A

(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.

Practice Associates & Co-Workers

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

5 Associated Practitioners

Rebekah Hedrick , NP

Nurse Practitioner - Family

NPI 1386307999

Nurse Practitioner

Susan Kraft , NP-C

Nurse Practitioner - Family

NPI 1407163959

Nurse Practitioner (Certified)

Tamela Twitty , NP

Nurse Practitioner

NPI 1427326297

Nurse Practitioner

Dr. Trisha Garrett , DO

Family Medicine

NPI 1619261369

Doctor of Osteopathic Medicine (D.O.)

Dr. Jerry Hancock , DO

Family Medicine

NPI 1902874662

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events

⚠️

NPI Profile Deactivated January 31, 2024

Record deactivated on January 31, 2024

📍

Updated Practice Location January 25, 2020

Registered at 600 S STATE ROAD 57, WASHINGTON, IN 475014371 (Tel: 8122571052)

📍

Updated Business Mailing Address January 25, 2020

Registered at 600 S STATE ROAD 57, WASHINGTON, IN 475014371 (Tel: 8122571052)

✅

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2017

Registered at 1717 S SR 57, SUITE F, WASHINGTON, IN 475014179 (Tel: 8126742330)

📍

Updated Business Mailing Address February 10, 2017

Registered at 6140 E COLUMBIA ST, EVANSVILLE, IN 477159133 (Tel: 8124751948)

👤

Provider Name / Credentials Updated February 10, 2017

Recorded as DAVIDA WILSON, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Nurse Practitioner (License #71003870A in IN)

✅

NPI Profile Active January 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2015

Registered at 1400 GRAND AVE, WASHINGTON, IN 475012122 (Tel: 8122546696)

📍

Updated Business Mailing Address January 09, 2015

Registered at 1400 GRAND AVE, WASHINGTON, IN 475012122 (Tel: 8122546696)

👤

Provider Name / Credentials Updated January 09, 2015

Recorded as DAVIDA WILSON, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2015

Nurse Practitioner (License #71003870A in IN)

🟢

Initial NPI Registration & Enumeration February 15, 2012

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: 1689947004

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 15, 2012

Last Update: January 09, 2015

Deactivation Date: January 31, 2024

Update or Correct Profile

Mailing Address

1400 Grand Ave

Washington, IN 475012122

Phone: 8122546696

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.