SHELLEY LEILANI DAVIS (P.A.-C) – Medical Physician Assistant, NPI 1235568742
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for SHELLEY LEILANI DAVIS (P.A.-C)
3614 WASHINGTON PKWY
IDAHO FALLS, ID 834047573
Phone: (208) 552-7700
Fax: (208) 552-1786
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,500.
Total Amount is formed as General ($1,500) + Research ($0) + Ownership ($0) = $1,500.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: ABBVIE INC. ($712).
Total Amount
$1,500
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,500
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $712 |
| GlaxoSmithKline, LLC. | $156 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $49 |
| Astellas Pharma US Inc | $48 |
| Shield Therapeutics Inc | $38 |
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: 2013-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131219000072 | I | Physician Assistant | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 63 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 72 | 26 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 69 | 47 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 55 | 45 | $0 |
Insurance plans in this area (ZIP 83404)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | GA | |
| Physician Assistant | ID | |
| General Surgery | GA | |
| General Surgery | ID | |
| Nurse Practitioner | ID | |
| General Surgery | GA | |
| General Surgery | GA | |
| Physician Assistant | ID | |
| Plastic And Reconstructive Surgery, General Surgery | ID |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.