Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beth Ann Davison, CNM

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205200516

Beth Ann Davison, CNM is a Nurse Practitioner in Centralia, Illinois. Qualified in 2015, 11 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
11
Licensed in
FL, IL
In the registry since
2015
Specialties on file
3
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

444 N Pleasant Ave
Centralia, IL 62801-3006
Phone: (618) 436-5665
Fax: (618) 436-8042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 N Schuyler Ave Ste 205, Kankakee, IL 60901-3862 — (815) 998-5786

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN9470700 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209033166 (IL)
Advanced Practice Midwife Taxonomy 367A00000X · Licence APRN9470700 (FL)

Record details

NPI number1205200516
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorYes
NPI enumeratedNovember 24, 2015
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address213 Palazzo Cir, St Augustine, FL 32092-4504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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