Shannon Rea Davis, NP-C, PMHNP - Medicare Nurse Practitioner in Eagle River, AK

Shannon Rea Davis, NP-C, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eagle River, Alaska. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice State Of Alaska Department Of Administration and her current practice location is 17051 Mercy Dr Ste 204, Eagle River, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 696-0096.

Shannon Rea Davis is licensed to practice in Alaska (license number 148870) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508261702.

Contact Information

Shannon Rea Davis, NP-C, PMHNP
17051 Mercy Dr Ste 204,
Eagle River, AK 99577-7630
(907) 696-0096
(949) 577-4808

Map and Direction




Provider's Profile

Full NameShannon Rea Davis
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location17051 Mercy Dr Ste 204, Eagle River, Alaska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Rea Davis graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1508261702
  • Provider Enumeration Date: 10/30/2014
  • Last Update Date: 03/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436472057
  • Enrollment ID: I20191206001140

Medical Identifiers

Medical identifiers for Shannon Rea Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508261702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 148870 (Alaska)Secondary
363L00000XNurse Practitioner 21452 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61119130 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 243410 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 233985 (Montana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 202105062NPPP (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 148870 (Alaska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Rea Davis allows following entities to bill medicare on her behalf.
Entity NameState Of Alaska Department Of Administration
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497842553
PECOS PAC ID: 5395638571
Enrollment ID: O20040203000267
Entity NameTranquility Behavioral Telehealth Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306488572
PECOS PAC ID: 7315370285
Enrollment ID: O20191206001057

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Rea Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Rea Davis, NP-C, PMHNP
Po Box 772852,
Eagle River, AK 99577-2852

Ph: (907) 696-0096
Shannon Rea Davis, NP-C, PMHNP
17051 Mercy Dr Ste 204,
Eagle River, AK 99577-7630

Ph: (907) 696-0096

Reviews and Comments


Nurse Practitioner Nurses in Eagle River, AK

Stephanie Erin Beck, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20567 Birch Crest Ln, Eagle River, AK 99577
Phone: 765-860-6339    
Katherine Smith, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11421 Old Glenn Hwy Ste 100, Eagle River, AK 99577
Phone: 907-622-2500    
Mrs. Suzanne P Straub, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11470 Business Blvd, Ste 100, Eagle River, AK 99577
Phone: 907-622-4325    Fax: 907-622-4326
Ms. Leska Nicole James, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 17025 Snowmobile Ln, Eagle River, AK 99577
Phone: 907-696-7466    
Casta Townsley,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 17101 Snowmobile Ln Ste 102, Eagle River, AK 99577
Phone: 907-694-7223    
Mary Ann Egbert, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12812 Old Glenn Hwy, Eagle River, AK 99577
Phone: 907-622-9675    Fax: 907-622-9676
Catherine Anada Haese, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12812 Old Glenn Hwy Ste C-412812, Eagle River, AK 99577
Phone: 907-726-0378    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.