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: July 19, 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
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

Secondary Practice Location 1

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

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. 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.

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.

When was this NPI record last updated?

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