SHANNON ROSE DAVIDSON NP
NPI 1053571562
Nurse Practitioner in Midlothian, VA

Q: What is Shannon Davidson's NPI number?

The NPI number for Shannon Davidson is 1053571562. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Q: What is Shannon Davidson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Davidson was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 10, 2008PECOS EnrolledAccepts Medicare Assignment

3000 WATERCOVE RD, MIDLOTHIAN, VA 23112(804) 744-0200(804) 744-8417 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2016, Dec 14, 2015, Dec 3, 2015 (3 updates tracked since 2015).

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About Shannon Rose Davidson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON ROSE DAVIDSON NP (NPI 1053571562) is an individual nurse practitioner in Midlothian, Virginia, licensed in Virginia (0024167546) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053571562

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON ROSE DAVIDSONCredential: NP

Location Address3000 WATERCOVE RDMidlothian, VA 23112-3982

Mailing Address13332 Midlothian TpkeMidlothian, VA 23113-4210 · (804) 794-5598 · Fax (804) 337-8194

Phone(804) 744-0200

Fax(804) 744-8417

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 10, 2008

Last NPPES UpdateJanuary 13, 20163 updates tracked since enumeration

✔ NPI 1053571562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0024167546

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3000 WATERCOVE RD, Midlothian, VA 23112

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Other Identifiers 3

Medicare PINVVJ575A POWVA

Medicare PINVVJ575B VIL, WCVA

Medicare PINVVJ575C WWWVA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Rose Davidson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446430383

PECOS Enrollment IDI20110209000375

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL H MYERS M.D.

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