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

Keith Davidson, NP-C

Individual provider Adult Health Nurse Practitioner · NPI 1366827982

Keith Davidson, NP-C is a Nurse Practitioner in Deckerville, Michigan. Qualified in 2015, 11 years ago. Practices with Deckerville Community Hospital Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2433 Black River St
Deckerville, MI 48427-9425
Phone: (810) 376-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704274292 (MI)

Record details

NPI number1366827982
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing addressPo Box 126, 3532 Main Street, Deckerville, MI 48427-0126

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 Deckerville Community Hospital Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Deckerville