SHIREA DAVIS (FNP-C) – Family Nurse Practitioner, NPI 1124642491
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
253 NEPHROLOGY in TN
Provider Addresses for SHIREA DAVIS (FNP-C)
4377 BARRYMOR DR
MEMPHIS, TN 381253119
Phone: (901) 262-0775
Type: Mailing
1215 POPLAR AVE
MEMPHIS, TN 381047241
Phone: (901) 472-4190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $332.
Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Daxor Corporation ($111).
Total Amount
$332
General + Research + Ownership
Payments
7
Total payment records
General Amount
$332
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Daxor Corporation | $111 |
| Bayer Healthcare Pharmaceuticals Inc. | $110 |
| Fresenius USA Marketing, Inc. | $62 |
| Travere Therapeutics, Inc. | $31 |
| Amgen Inc. | $19 |
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: 2022-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20210920000877 | I | Nurse Practitioner | TN | TBD |
| I20220718003947 | I | Nephrology | TN | TBD |
| I20221018002776 | I | Nurse Practitioner | MS | TBD |
| I20221019000018 | I | Nurse Practitioner | AR | 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 |
|---|---|---|---|---|
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 142 | 45 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 24 | 19 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 19 | 17 | $0 |
Insurance plans in this area (ZIP 38125)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | MS | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Nephrology, Internal Medicine | TN | |
| N E P H R O L O G Y | TN | |
| Nurse Practitioner | TN |
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.