Active NPI
Shareece Davis-Nelson, M.D.
- Maternal & Fetal Medicine Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 04-52320
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD436517 | PA | MD | Obstetrics & Gynecology Physician |
| 04-52320 | KS | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Obstetrics & Gynecology | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Centerpoint Womens Services LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Valley Children's Medical Group | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Community Health Partners | Current | Accepting new patients | |
| Swedishamerican Hospital | Maternal & Fetal Medicine | Current | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Independence, MO
- NPI 1386935237
KS
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba SwedishAmerican Medical Group
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
Maternal & Fetal Medicine
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
- Obstetrics & Gynecology Physician
- Loma Linda, CA
- NPI 1235189275
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Pediatrics Physician
- Highland, CA
- NPI 1689624991
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
Obstetrics & Gynecology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.