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Active NPI 1164724787 Individual Practitioner Female Practitioner

Amanda Nicole Davis , CNP

Nurse Practitioner - Family • Jackson, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Davis, CNP is a certified Nurse Practitioner - Family practicing in Jackson, OH. With approximately 16 years of clinical experience since completing medical education in 2010, Amanda Davis delivers high-quality medical care to the local community at 280 PATTONSVILLE RD.

Amanda Davis is affiliated with Holzer Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

280 Pattonsville Rd

Jackson, OH 456409452

Telephone 7403958805
Fax 7403958855
Associated Practice Facility / Clinic
🏢 Holzer Hospital Foundation Facility NPI 1629109780

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Jackson, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +5.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Jackson, OH (9717 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davis (16 Years) 16 Yrs
Jackson Specialty Average (10.3 Years) 10.3 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
99285 Emergency department visit for life threatening or functioning severity
96 91 $939.00 $143.64
99284 Emergency department visit with moderate level of medical decision making
94 88 $619.00 $96.47
99283 Emergency department visit with low level of medical decision making
59 57 $441.00 $58.42

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OH COA.12007-NP

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3810019225 (WV)
Medicaid State Provider ID
3108845 (OH)
Commercial Insurance / Payer ID Anthem Bcbs
000000691801 (OH)

Hospital & Practice Group Affiliations

Holzer Clinic Llc

100 Jackson Pike, Gallipolis, OH 456311560

Phone: 7404465050

Practice Associates & Co-Workers

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

24 Associated Practitioners
Dr. Donald Fisco , DO

Family Medicine

NPI 1013963875

Doctor of Osteopathic Medicine (D.O.)

Neesha Smith , CNP

Nurse Practitioner

NPI 1063432771

Certified Nurse Practitioner

Karen Leigh , SLP

Speech-Language Pathologist

NPI 1083788731

Speech-Language Pathologist

Dr. Edwin Hissa , MD

Orthopaedic Surgery

NPI 1124051081

Doctor of Medicine (M.D.)

Christine Pearl , FNP-C

Nurse Practitioner - Family

NPI 1194128561

Family Nurse Practitioner (Certified)

NPI 1235184458

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2014

Registered at 280 PATTONSVILLE RD, JACKSON, OH 456409452 (Tel: 7403958805)

📍
Updated Business Mailing Address August 07, 2014

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7409920060)

👤
Provider Name / Credentials Updated August 07, 2014

Recorded as AMANDA DAVIS, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Nurse Practitioner (License #COA.12007-NP in OH)

🟢
Initial NPI Registration & Enumeration December 02, 2010

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: 1164724787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2010
Last Update: August 07, 2014
Sole Proprietor: No

Mailing Address

90 Jackson Pike

Gallipolis, OH 456311560

Phone: 7409920060

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.