Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelley Leilani Davis, PA-C

Individual provider Medical Physician Assistant · NPI 1235568742

Shelley Leilani Davis, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2013, 13 years ago. Practices with Steele Lake Specialty PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3614 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone: (208) 552-7700
Fax: (208) 552-1786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence TLP-014 (ID)

Record details

NPI number1235568742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESNovember 5, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Steele Lake Specialty Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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