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SHANNON REA DAVIS NP-C , PMHNP
NPI 1508261702
Nurse Practitioner - Psychiatric/Mental Health in Eagle River, AK

Active since October 30, 2014PECOS EnrolledAccepts Medicare Assignment
17051 MERCY DR STE 204, EAGLE RIVER, AK 99577(907) 696-0096(949) 577-4808 Get Directions Write a Review

NPPES record last updated: March 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2023, Dec 17, 2021, Nov 12, 2021 and 5 more (8 updates tracked since 2016).

About Shannon Rea Davis Np-c , Pmhnp NPPES

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

SHANNON REA DAVIS NP-C , PMHNP (NPI 1508261702) is an individual psychiatric/mental health provider in Eagle River, Alaska, licensed in Alaska (148870) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508261702
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON REA DAVISCredential: NP-C , PMHNP
Location Address17051 MERCY DR STE 204Eagle River, AK 99577-7630
Mailing AddressPo Box 772852Eagle River, AK 99577-2852 · (907) 696-0096 · Fax (949) 577-4808
Phone(907) 696-0096
Fax(949) 577-4808
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 30, 2014
Last NPPES UpdateMarch 2, 20248 updates tracked since enumeration
NPPES CertifiedMarch 2, 2024
✔ NPI 1508261702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AK · 148870✔ Licensed in WA · AP61119130✔ Licensed in AZ · 243410✔ Licensed in MT · 233985✔ Licensed in OR · 202105062NPPP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 21452 (TN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 148870 (AK)
17051 MERCY DR STE 204, Eagle River, AK 99577
Open in Google Maps ↗

Secondary Practice Locations 2

Location 118 W Mercer St Ste 360Seattle, WA 98119-3993 · Phone (907) 969-0096 · Fax (949) 577-4808
Location 2600 Central Ave Ste 208Great Falls, MT 59401-3141 · Phone (907) 696-0096

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Rea Davis Np-c , Pmhnp 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 ID9436472057
PECOS Enrollment IDI20191206001140
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

5

Medicare enrollment records show Shannon Davis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tranquility Behavioral Telehealth LLC
Same address
Psychiatric/Mental Health
17051 MERCY DR STE 204
Eagle River, AK 99577
  • Reassigned Medicare billing, Alaska, Montana and Tennessee enrollments
  • 3 clinicians in this Medicare group
NPI 1306488572 (907) 696-0096
State Of Alaska Department Of Administration
14 mi
Psychiatric Hospital
3700 PIPER ST
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 35 clinicians in this Medicare group
NPI 1497842553 (907) 269-7100
Southeastern Physician Services PC
3,276 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Southeastern Emergency Services P C
3,296 mi
Nurse Practitioner
1114 W MADISON AVE
Athens, TN 37371
  • Reassigned Medicare billing, Tennessee enrollment
  • 105 clinicians in this Medicare group
NPI 1669414264 (423) 745-1411
App Of Tennessee Ed, PLLC
3,300 mi
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Tennessee enrollment
  • 390 clinicians in this Medicare group
NPI 1003230236 (865) 983-7211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
67 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99577 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%176 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%43 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

TRANQUILITY BEHAVIORAL TELEHEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
17051 MERCY DR STE 204
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 696-0096

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 Shannon Davis's NPI number?

The NPI number for Shannon Davis is 1508261702. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Where is Shannon Davis located?

Shannon Davis practices at 17051 Mercy Dr Ste 204, Eagle River, AK 99577. The listed phone number is (907) 696-0096.

What is Shannon Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shannon Davis enrolled in Medicare?

Yes. Shannon 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.

Which organizations bill Medicare for Shannon Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Davis reassigns Medicare benefits to 5 organizations: Tranquility Behavioral Telehealth LLC (Eagle River, AK), State Of Alaska Department Of Administration (Anchorage, AK), Southeastern Physician Services PC (Oak Ridge, TN), Southeastern Emergency Services P C (Athens, TN) and App Of Tennessee Ed, PLLC (Maryville, TN). 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 Shannon Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Davis accept?

Health plans from Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Shannon 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.

When was this NPI record last updated?

The NPPES record for Shannon Davis was last updated on March 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.