SHANNON WALLER DAVIS (CNM) – Advanced Practice Midwife, NPI 1063884799
Advanced Practice Midwife
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
98 CERTIFIED NURSE MIDWIFE (CNM) in MO
Provider Addresses for SHANNON WALLER DAVIS (CNM)
1407 MCPHERSON AVE
MOUNT VERNON, IL 628642822
Phone: (618) 997-5266
Fax: (618) 997-5285
Type: Mailing
6420 CLAYTON RD STE 290
SAINT LOUIS, MO 631171811
Phone: (314) 781-8605
Fax: (314) 781-2840
Type: Mailing
1031 BELLEVUE AVE STE 400
SAINT LOUIS, MO 631171858
Phone: (314) 977-7455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $601.
Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($147).
Total Amount
$601
General + Research + Ownership
Payments
30
Total payment records
General Amount
$601
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $147 |
| Sumitomo Pharma America, Inc. | $132 |
| Organon LLC | $99 |
| Bayer Healthcare Pharmaceuticals Inc. | $40 |
| Exeltis, USA Inc. | $32 |
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: 2016-06-06
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 |
|---|---|---|---|---|
| I20160606000404 | I | Certified Nurse Midwife (Cnm) | IL | 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 | 11 | 11 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| - | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
Reviews
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