SHELBY DAVIS NURSE PRACTITIONER - NPI 1568836815 - Nurse Practitioner in Jackson, MS

Q: What is Shelby Davis's NPI number?

The NPI number for Shelby Davis is 1568836815. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Q: What is Shelby Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Davis was last updated on March 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shelby Davis Nurse Practitioner NPPES

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

SHELBY DAVIS NURSE PRACTITIONER (NPI 1568836815) is an individual adult health provider in Jackson, Mississippi, licensed in Mississippi (R883040) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2015).

NPPES Registry Identity

NPI1568836815

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHELBY DAVISCredential: NURSE PRACTITIONER

Location Address2860 MCDOWELL ROAD EXTJackson, MS 39204-4238

Mailing Address2860 Mcdowell Road ExtJackson, MS 39204-4238 · (601) 372-1117 · Fax (601) 373-3004

Phone(601) 372-1117

Fax(601) 373-3004

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2015

Enumeration DateNovember 24, 2015

Last NPPES UpdateMarch 31, 20172 updates tracked since enumeration

✔ NPI 1568836815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MS · R883040

2860 MCDOWELL ROAD EXT, Jackson, MS 39204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.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

Shelby Davis Nurse Practitioner 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 ID6608157979

PECOS Enrollment IDI20161228000287

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 39204 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier19 claims19 services$19.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MR. TIMOTHY DUNCAN ESTES M.D.

General Practice