SHANTRECE N DAVIS
NPI 1760003784
Nurse Practitioner - Family in Indianapolis, IN

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since April 30, 2020PECOS Enrolled

3815 RIVER CROSSING PKWY STE 100, INDIANAPOLIS, IN 46240(844) 735-3314(855) 737-5542 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shantrece N Davis NPPES

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

SHANTRECE N DAVIS (NPI 1760003784) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71010008A) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760003784

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANTRECE N DAVIS

Location Address3815 RIVER CROSSING PKWY STE 100Indianapolis, IN 46240-7766

Mailing Address333 Commerce St Ste 700Nashville, TN 37201-1835 · (615) 454-9850

Phone(844) 735-3314

Fax(855) 737-5542

Sole ProprietorNo

Enumeration DateApril 30, 2020

NPPES CertifiedApril 30, 2020

✔ NPI 1760003784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71010008A

3815 RIVER CROSSING PKWY STE 100, Indianapolis, IN 46240

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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)

Shantrece N Davis 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 46240 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.