Doctor profile · Federal record

Dr. Shannon Waller Davis, CNM

Advanced Practice Midwife (CMS: Certified Nurse Midwife (CNM)) · Advanced Practice Midwife · Saint Louis, MO

  • NPI 1063884799
  • Accepts Medicare
  • MIPS 69.6 / 100 · 2023
  • 11 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1031 Bellevue Ave Ste 400
Saint Louis, MO 631171858
(314) 977-7455
Mailing address
6420 Clayton RD Ste 290
Saint Louis, MO 631171811

Credentials & registration

NPPES · NUCC
NPI registered
October 2015 — 11 yrs on file
Profile last updated
February 5, 2021
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
367A00000X — NUCC code
State license (1)
Missouri #2018010192

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063884799. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
11
Distinct HCPCS
1
Medicare allowed
$980
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 11 11 $89

In context: peer comparison

Among 2 peers in this city , average services per provider: 31. This provider delivers 0.4× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$234
Transactions
13
Manufacturers
7
Payer (manufacturer) Industry Txns Amount
Novo Nordisk Inc 4 $69.98
Organon Llc 3 $43.66
Bayer Healthcare Pharmaceuticals Inc. 2 $40.20
Exact Sciences Corporation 1 $24.62
Sumitomo Pharma America, Inc. 1 $24.50
Hologic Sales and Service, LLC 1 $17.11
Exeltis, USA Inc. 1 $13.63

By nature of payment

Food and Beverage
$234

Frequently asked questions

Auto-generated from federal data
What is Dr. Shannon Waller Davis's medical specialty?
Dr. Shannon Waller Davis practices Advanced Practice Midwife in Saint Louis, MO.
Where does Dr. Shannon Waller Davis practice?
Dr. Shannon Waller Davis practices at 1031 Bellevue Ave Ste 400, Saint Louis, MO 631171858. Office phone: 3149777455.
What is Dr. Shannon Waller Davis's NPI?
Dr. Shannon Waller Davis's National Provider Identifier (NPI) is 1063884799, issued by NPPES.
Does Dr. Shannon Waller Davis accept Medicare assignment?
Yes. Dr. Shannon Waller Davis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Waller Davis commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.