ANETRA DAVIS AANP
NPI 1114650850
Nurse Practitioner in Shreveport, LA

Active since July 08, 2022PECOS EnrolledAccepts Medicare Assignment
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2023, Jul 8, 2022 (2 updates tracked since 2022).

About Anetra Davis Aanp NPPES

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

ANETRA DAVIS AANP (NPI 1114650850) is an individual nurse practitioner in Shreveport, Louisiana, licensed in Louisiana (227422) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114650850
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANETRA DAVISCredential: AANP
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0287
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 8, 2022
Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
NPI 1114650850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in LA · 227422
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN147909 (LA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 227422 (LA)
1541 KINGS HWY, Shreveport, LA 71103

Accepted Insurance

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

Anetra Davis Aanp 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 ID8921476615
PECOS Enrollment IDI20221130003364
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
41 services41 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190098
Location1541 Kings HighwayShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Ochsner Lsu Health Shreveport-St Mary Medical Cent

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190317
Location911 Margaret PlaceShreveport, LA 71101 · Caddo County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 20

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

Internal Medicine (Cardiovascular Disease)
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics (Pediatric Pulmonology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Anesthesiology
1541 KINGS HWY
SHREVEPORT, LA 71103
Physician Assistant (Medical)
1541 KINGS HWY
SHREVEPORT, LA 71103
Internal Medicine (Interventional Cardiology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Psychiatry & Neurology (Neurology)
1541 KINGS HWY
SHREVEPORT, LA 71103

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 Anetra Davis's NPI number?

The NPI number for Anetra Davis is 1114650850. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Anetra Davis located?

Anetra Davis practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Anetra Davis's specialty?

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

Is Anetra Davis enrolled in Medicare?

Yes. Anetra Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anetra Davis accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Anetra Davis 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.

Is Anetra Davis affiliated with any hospitals?

According to CMS data, Anetra Davis is affiliated with Ochsner Lsu Health Shreveport and Ochsner Lsu Health Shreveport-St Mary Medical Cent.

When was this NPI record last updated?

The NPPES record for Anetra Davis was last updated on January 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.