MS. SHELYTA LETE DAVIS NP
NPI 1356611362
Nurse Practitioner - Family in North Syracuse, NY

Q: What is Shelyta Davis's NPI number?

The NPI number for Shelyta Davis is 1356611362. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Q: What is Shelyta Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shelyta Davis was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 06, 2012PECOS Enrolled

5496 E TAFT RD, NORTH SYRACUSE, NY 13212(315) 552-6700 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Shelyta Lete Davis Np NPPES

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

MS. SHELYTA LETE DAVIS NP (NPI 1356611362) is an individual family provider in North Syracuse, New York, licensed in New York (340831) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356611362

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SHELYTA LETE DAVISCredential: NP

Location Address5496 E TAFT RDNorth Syracuse, NY 13212-3784

Mailing Address5824 Widewaters PkwyEast Syracuse, NY 13057-3072 · (315) 251-3105

Phone(315) 552-6700

Sole ProprietorNo

Enumeration DateJanuary 6, 2012

Last NPPES UpdateNovember 7, 2016

✔ NPI 1356611362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 340831

Also ListedRegistered NurseTaxonomy 163W00000X · License 646408 (NY)

5496 E TAFT RD, North Syracuse, NY 13212

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shelyta Lete Davis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13212 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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