Kerry Davis
NPI 1033953658ActiveIndividual· Physician Assistant· Sun City, AZ
Physician Assistant with Banner Cancer Center Specialists LLC, practicing in Sun City, Arizona. Medicare paid $6,044 for services to 61 patients in 2024. Lists Banner Boswell Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1033953658 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 19, 2024 |
| Last updated in NPPES | Mar 19, 2026 |
| Certified by provider | Mar 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10528 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 77 across 11 procedure codes |
| Paid by Medicare | $6,044 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Banner Cancer Center Specialists LLCGilbert, AZ · 344 clinicians
Hospital affiliations
- Banner Boswell Medical CenterSun City, AZ
- Banner del E. Webb Medical CenterSun City West, AZ
- Yavapai Regional Medical CenterPrescott, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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