SHANNAN VERA DAVIS (A.P.R.N.) – Nurse Practitioner, NPI 1265430664

SHANNAN VERA DAVIS (A.P.R.N.) is a healthcare provider. based in Hamden, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials A.P.R.N.. They hold a License No. APRN11011245 (FL). The NPI Number for SHANNAN VERA DAVIS (A.P.R.N.) is 1265430664

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SHANNAN VERA DAVIS (A.P.R.N.)
NPI
1265430664
Phone
(203) 865-6784
Address
9 WASHINGTON AVE
Enumeration Date
9 July 2005
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393347000
Graduation Year
1999 (27 years ago)
PAC ID
5890716385
Group Practice PAC ID
2668442799
Professional Enrollment ID
I20220419000499
Address ID
FL339124707FO14601LOOP400

Contacts

Secure Messaging
sdavis292145@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,191 NURSE PRACTITIONER in CT

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Provider Addresses for SHANNAN VERA DAVIS (A.P.R.N.)

  • 9, Washington Avenue, Centerville, Hamden, New Haven County, Connecticut, 06518, United States

    HAMDEN, CT 065183267

    Phone: (203) 865-6784

    Fax: (203) 865-6788

    Type: Location

  • Washington Avenue, Centerville, Hamden, New Haven County, Connecticut, 06518, United States

    HAMDEN, CT 065183267

    Phone: (203) 865-6784

    Fax: (203) 865-6788

    Type: Mailing

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-9696

    Fax: (239) 343-4198

    Type: Mailing

  • 8960 COLONIAL CENTER DR STE 206

    FORT MYERS, FL 339057810

    Phone: (239) 343-9696

    Fax: (239) 343-4198

    Type: Location

  • 14601 HOPE CENTER LOOP

    FORT MYERS, FL 339124707

    Phone: (239) 334-7000

    Fax: (239) 334-7070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120224000552INurse PractitionerCTTBD
I20220419000499INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10221$0
20610Aspiration and/or injection of fluid from large joint6855$0
99214Established patient office or other outpatient visit, 30-39 minutes4343$0
99213Established patient office or other outpatient visit, 20-29 minutes3633$0
27447Replacement of knee joint, both sides of knee2626$0
View full utilization report →

Insurance plans in this area (ZIP 06518)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668442799View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
-FL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Nurse PractitionerFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Physician AssistantNV

Reviews

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Frequently asked questions

Is SHANNAN VERA DAVIS (A.P.R.N.) listed with a National Provider Identifier?
Yes — SHANNAN VERA DAVIS (A.P.R.N.) has NPI 1265430664 on file in the registry.
Is there an active status for SHANNAN VERA DAVIS (A.P.R.N.)?
For scheduling context, SHANNAN VERA DAVIS (A.P.R.N.) is shown as active in the registry.
What expertise is attributed to SHANNAN VERA DAVIS (A.P.R.N.)?
SHANNAN VERA DAVIS (A.P.R.N.)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHANNAN VERA DAVIS (A.P.R.N.) located near Hamden?
SHANNAN VERA DAVIS (A.P.R.N.) currently maps to Hamden, Connecticut in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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