Individual provider Active NPI

Shareece Davis-Nelson, M.D.

  • Maternal & Fetal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1699980243
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
04-52320 Issued in KS
Practice address
12200 W 106TH St Ste 125
Overland Park, KS 66215-2382
Phone
(913) 599-1396
NPI assigned
May 14, 2007
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD436517 PA
Obstetrics & Gynecology Physician 207V00000X A97214 CA
Maternal & Fetal Medicine Physician 207VM0101X 04-52320 KS Primary

Addresses

Primary practice location

12200 W 106TH St Ste 125
Overland Park, KS 66215-2382

Mailing address

2355 Pennsylvania Ave
Riverside, CA 92507-5825
Phone (951) 888-1528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, KS, MO, IN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20130731000491 CA Practitioner - Obstetrics/Gynecology 8729134341 Reassigns benefits to 3 organizations
I20241210000929 IL Practitioner - Obstetrics/Gynecology 8729134341 Reassigns benefits to 1 organization
I20260219003266 KS Practitioner - Obstetrics/Gynecology 8729134341 Reassigns benefits to 1 organization
I20260226003054 MO Practitioner - Obstetrics/Gynecology 8729134341 Reassigns benefits to 1 organization
I20260508003664 IN Practitioner - Obstetrics/Gynecology 8729134341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Centerpoint Womens Services LLCGroup PAC ID 1153594759, 7 clinicians

Practice addresses (Care Compare)

100 Navarre PL
South Bend, IN 46601-1171

12200 W 106TH St
Suite 125
Overland Park, KS 66215-2305
Phone (913) 599-1396

19550 E 39TH St S
Suite 320
Independence, MO 64057-2324
Phone (816) 350-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD436517PAMDObstetrics & Gynecology Physician
04-52320KSMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Obstetrics & Gynecology CurrentSince Sep 1, 2013 Accepting new patients
Swedishamerican Hospital CurrentSince Oct 21, 2024 Accepting new patients
Centerpoint Womens Services LLC Maternal & Fetal Medicine CurrentSince Dec 24, 2025 Accepting new patients
Valley Children's Medical Group CurrentSince Apr 25, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 1, 2013 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Community Health Partners CurrentSince Apr 11, 2022 Accepting new patients
Swedishamerican Hospital Maternal & Fetal Medicine CurrentSince Oct 21, 2024 Accepting new patients
University Faculty Associates, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

726 N Medical Center Dr E
Ste 223
Clovis, CA 93611
Phone (559) 472-4255

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

220 S Akers St
Visalia, CA 93291
Phone (559) 302-1245

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

12200 W 106th St
Ste 125
Overland Park, KS 66215

5701 W 119th St
Ste 305
Shawnee Msn, KS 66209
Phone (816) 350-2024

19550 E 39th St S
Ste 320
Independence, MO 64057
Phone (816) 350-4306

8600 NE 82nd St
Kansas City, MO 64158
Phone (816) 350-2024

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

Interoperability endpoints

  • Direct secure messaging: sdavis64060@direct.llu.edu

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1699980243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 PENNSYLVANIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075825",
            "telephone_number": "951-888-1528",
            "fax_number": "951-269-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152382",
            "telephone_number": "913-599-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-NELSON",
        "first_name": "SHAREECE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD436517",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A97214",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KS",
            "license": "04-52320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.