Shannan Vera Davis, A.P.R.N.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11011245 Issued in FL

Practice address

14601 Hope Center Loop
Fort Myers, FL 33912-4707

Phone

(239) 334-7000

Fax

(239) 334-7070

NPI assigned

Jul 9, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shannan Hardy Hardy Former name

Medicare fee-for-service enrollment

Enrolled in CT, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Specialists of SW Florida, P.a.Group PAC ID 2668442799, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score

93.2 of 100Reported as group

Promoting interoperability

92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shardy244938@xdr.hhchealthdirect.org
• FHIR API: https://osswf.mmi.prod.fhir.ema-api.com/fhir/r4
• Direct secure messaging: sdavis@osswf.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic Specialists of SW Florida, P.a.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1720187495
  Medicare reassignment Care Compare group NPD
• Hartford Healthcare Medical Group Specialists, PLLC

  • Surgery Physician
  • Hartford, CT
  • NPI 1023584216

  Nurse Practitioner

  Medicare reassignment NPD
• Paul Fischer MD P.C.

  • Plastic Surgery Physician
  • Milford, CT
  • NPI 1972838480
  Medicare reassignment NPD
• QMG2,LLC

  • Urgent Care Clinic/Center
  • Fairfield, CT
  • NPI 1437546363
  Medicare reassignment NPD
• QMG3, LLC

  • Urgent Care Clinic/Center
  • Shelton, CT
  • NPI 1053856039
  Medicare reassignment NPD
• QMG4, LLC

  • Family Medicine Physician
  • Bridgeport, CT
  • NPI 1023471299
  Medicare reassignment NPD
• Quentin Medical Group, LLC

  • Urgent Care Clinic/Center
  • Bridgeport, CT
  • NPI 1487087250
  Medicare reassignment NPD
• Hartford Healthcare Medical Group Specialists LLC

  • Customized Equipment (DME)
  • Groton, CT
  • NPI 1295367068
  NPD
• Orthopedic Specialists of SW Florida, P.a.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1770410433
  NPD (past)
• Chemung Medical Services PC

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1356378889
  NPD (past)
• Fort Edward Rescue Squad Inc

  • Ambulance
  • Fort Edward, NY
  • NPI 1427031319
  NPD (past)
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Troy, PA
  • NPI 1376592493
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1366281750
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1265430664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124707",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124707",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHANNAN",
        "middle_name": "VERA",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11011245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113911800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265430664",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNAN",
            "last_name": "HARDY",
            "middle_name": "HARDY",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Davis, LCSW-C
• Reginald J Davis, M.D.
• Richard M Davis, MD
• Robert Ellerslie Davis III, DC
• Sean J Davis, P.T.
• Tyler Davis, PHARMD
• Jocelyn Dawal, M.ED., SLP-CCC
• Dawn Bradley Arnp PLLC
• Emily Day, PA
• Sarah Day

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.