SHANNON REA DAVIS (NP-C , PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508261702
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for SHANNON REA DAVIS (NP-C , PMHNP)
18 W Mercer St Ste 360
Seattle, WA 981193993
Phone: (907) 969-0096
Fax: (949) 577-4808
Type: Location
600 Central Ave Ste 208
Great Falls, MT 594013141
Phone: (907) 696-0096
Type: Location
17051 MERCY DR STE 204
EAGLE RIVER, AK 995777630
Phone: (907) 696-0096
Fax: (949) 577-4808
Type: Location
513 MEMORIAL BLVD # 156
SPRINGFIELD, TN 371722905
Phone: (844) 995-0577
Fax: (949) 577-4808
Type: Mailing
3137 TONGASS AVE
KETCHIKAN, AK 999015745
Phone: (844) 995-0577
Fax: (949) 577-4808
Type: Location
PO BOX 772852
EAGLE RIVER, AK 995772852
Phone: (907) 696-0096
Fax: (949) 577-4808
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $1,924.
Total Amount is formed as General ($1,924) + Research ($0) + Ownership ($0) = $1,924.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Abbott Laboratories ($771).
Total Amount
$1,924
General + Research + Ownership
Payments
39
Total payment records
General Amount
$1,924
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $771 |
| ABBVIE INC. | $423 |
| Axsome Therapeutics, Inc. | $219 |
| Galderma Laboratories, L.P. | $145 |
| Neurocrine BioSciences, Inc. | $127 |
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: 2024-04-15
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 |
|---|---|---|---|---|
| I20150106000785 | I | Nurse Practitioner | TX | TBD |
| I20161012002338 | I | Nurse Practitioner | TN | TBD |
| I20191206001140 | I | Nurse Practitioner | AK | TBD |
| I20240415003062 | I | Nurse Practitioner | MT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98119)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | PA | |
| - | MN | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| Family Practice | AK | |
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | AK | |
| Addiction Medicine, Psychiatry | MN | |
| P S Y C H I A T R Y | CO |
Reviews
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