Shelley Davis, in Orange Park, FL - Medicare Nurse Practitioner

Shelley Davis, is a medicare enrolled "Nurse Practitioner" in Orange Park, Florida. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Florida Trauma Services Llc and her current practice location is 1887 Kingsley Ave Ste 1900, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 276-2549.

Shelley Davis is licensed to practice in Florida (license number 3203142) 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 1659879237.

Contact Information

	Shelley Davis,
	1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451
	(904) 276-2549
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelley Davis
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1887 Kingsley Ave Ste 1900, Orange Park, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelley Davis graduated from nursing school in 2015

NPI Data:

NPI Number: 1659879237
Provider Enumeration Date: 01/29/2018
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9335499680
Enrollment ID: I20180906002065

Medical Identifiers

Medical identifiers for Shelley Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659879237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3203142 (Florida)	Secondary
363L00000X	Nurse Practitioner	3203142 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Orange Park Medical Center	Orange park, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Trauma Services Llc	3971985938	76

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. Shelley Davis allows following entities to bill medicare on her behalf.

Entity Name	Paragon Emergency Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143

Entity Name	Orange Park Acute Trauma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427397264 PECOS PAC ID: 5991943813 Enrollment ID: O20130604000393

Entity Name	Florida Trauma Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477296952 PECOS PAC ID: 3971985938 Enrollment ID: O20220808001578

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. Shelley 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 Address	Practice Location Address
Shelley Davis, 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 Ph: (904) 276-2549	Shelley Davis, 1887 Kingsley Ave Ste 1900, Orange Park, FL 32073-4451 Ph: (904) 276-2549

Reviews and Comments

Nurse Practitioner Nurses in Orange Park, FL

Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780
Erica Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1279 Kingsley Ave Ste 102, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769

Shelley Davis, - Medicare Nurse Practitioner in Orange Park, FL