Individual provider Active NPI

Shakerra Davis, RN

  • Family Nurse Practitioner
  • Trenton, NJ
National Provider Identifier
1871865352
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15379200 Issued in NJ
Practice address
25 Samdin Blvd
Trenton, NJ 08610-3930
Phone
(609) 384-4500
NPI assigned
Jan 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR16174800 NJ
Family Nurse Practitioner 363LF0000X 26NJ15379200 NJ Primary

Addresses

Primary practice location

25 Samdin Blvd
Trenton, NJ 08610-3930

Mailing address

25 Samdin Blvd
Trenton, NJ 08610-3930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251223004747 NJ Practitioner - Nurse Practitioner 3870088149 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Sai Inpatient Resources, LLCGroup PAC ID 2668492711, 29 clinicians
Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians
Personal NP Services LLCGroup PAC ID 9335455179, 65 clinicians

Practice addresses (Care Compare)

1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 945-5724

3325 Hwy 35
Hazlet, NJ 07730-1552
Phone (732) 264-5800

456 Chestnut St
Suite 102
Lakewood, NJ 08701-6124
Phone (732) 486-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR16174800NJMDRegistered Nurse
26NJ15379200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Inpatient Resources, LLC CurrentSince Jan 1, 2026 Accepting new patients
Provider Partners Care Management LP CurrentSince Jan 20, 2026 Accepting new patients
Personal NP Services, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1871865352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SAMDIN BLVD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086103930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SAMDIN BLVD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086103930",
            "telephone_number": "609-384-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHAKERRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16174800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15379200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.