Kelley Rebecca Davis, DNP, RN, CPNP-PC
NPI 1043778418ActiveIndividual· Nurse Practitioner, Pediatrics· Portland, OR
Nurse Practitioner, Pediatrics (DNP, RN, CPNP-PC) in Portland, Oregon, licensed in OR, with an NPI issued in March 2019. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1043778418 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, RN, CPNP-PC |
| Sole proprietor | No |
| NPI issued | Mar 5, 2019 |
| Last updated in NPPES | Jun 24, 2025 |
| Certified by provider | Jun 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 202000767NP-PP | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|
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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