AFFIVIA DAVIES SHABAZZ APRN-CS
NPI 1033287271
Nurse Practitioner - Family in Minneapolis, MN
About Affivia Davies Shabazz Aprn-cs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFFIVIA DAVIES SHABAZZ APRN-CS (NPI 1033287271) is an individual family provider in Minneapolis, Minnesota, licensed in Georgia (RN186391NP) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Affivia Davies Shabazz Aprn-cs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Affivia Shabazz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Georgia enrollment
- 488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Affivia Shabazz's NPI number?
The NPI number for Affivia Shabazz is 1033287271. It was assigned to this individual provider in the NPPES registry on December 4, 2006.
Where is Affivia Shabazz located?
Affivia Shabazz practices at 920 2nd Ave S Suite 400, Minneapolis, MN 55402. The listed phone number is (612) 659-7111.
What is Affivia Shabazz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Affivia Shabazz enrolled in Medicare?
Yes. Affivia Shabazz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Affivia Shabazz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Affivia Shabazz reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Affivia Shabazz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Affivia Shabazz accept?
Health plans from CareSource (Common Ground Healthcare) list Affivia Shabazz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Affivia Shabazz was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Affivia Davies Shabazz, APRN-CS · NPI 1033287271
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since December 4, 2006.
## Identity
- **NPI:** 1033287271 (Entity type: Individual)
- **Enumerated:** December 4, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN186391NP (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 2ND AVE S, SUITE 400, Minneapolis, MN 55402-3318
- **Phone:** (612) 659-7111 · **Fax:** (612) 225-1591
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2010
- **Other identifiers:** Medicare UPIN 50BBKVC (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1033287271) · Data from the CMS NPPES public registry.