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MS. SHANEDRA RACHELLE DAVIS NP
NPI 1477825099
Nurse Practitioner - Family in Renton, WA

Active since January 27, 2012PECOS Enrolled
485 RAINIER AVE S STE B, RENTON, WA 98057(281) 793-0437 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 16, 2022, Nov 24, 2021, Oct 16, 2018 (3 updates tracked since 2018).

About Ms. Shanedra Rachelle Davis Np NPPES

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

MS. SHANEDRA RACHELLE DAVIS NP (NPI 1477825099) is an individual family provider in Renton, Washington, licensed in Washington (AP61139752) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1477825099
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHANEDRA RACHELLE DAVISCredential: NP
Location Address485 RAINIER AVE S STE BRenton, WA 98057-2428
Mailing Address2923 Ashlyn Arbor DrFresno, TX 77545-2152 · (281) 793-0437
Phone(281) 793-0437
Sole ProprietorNo
Enumeration DateJanuary 27, 2012
Last NPPES UpdateFebruary 16, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1477825099 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
Licenses✔ Licensed in WA · AP61139752✔ Licensed in TX · AP139333
Also ListedRegistered NurseTaxonomy 163W00000X · License 792827 (TX)
485 RAINIER AVE S STE B, Renton, WA 98057
Open in Google Maps ↗

Secondary Practice Location 1

Location 12923 Ashlyn Arbor DrFresno, TX 77545-2152 · Phone (281) 793-0437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shanedra Rachelle 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shanedra Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC
1,652 mi
Family Medicine
1301 W 7TH ST, STE 121
Fort Worth, TX 76102
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1205165875 (817) 348-0425
Signify Health Medical Associates, PLLC
1,664 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas and Washington enrollments
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 98057 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Shanedra Davis's NPI number?

The NPI number for Shanedra Davis is 1477825099. It was assigned to this individual provider in the NPPES registry on January 27, 2012.

Where is Shanedra Davis located?

Shanedra Davis practices at 485 Rainier Ave S Ste B, Renton, WA 98057. The listed phone number is (281) 793-0437.

What is Shanedra Davis's specialty?

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

Is Shanedra Davis enrolled in Medicare?

Yes. Shanedra Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shanedra Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanedra Davis reassigns Medicare benefits to 2 organizations: Vpa Of Texas PLLC (Fort Worth, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Shanedra Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shanedra Davis was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.