COLLEEN BETTILYEN DAVENPORT PMHNP
NPI 1003223694
Nurse Practitioner - Psychiatric/Mental Health in Baker City, OR

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since July 16, 2014PECOS Enrolled

3425 13TH ST, BAKER CITY, OR 97814(541) 523-7400(253) 584-1508 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2020, Mar 22, 2019, Feb 5, 2016 (3 updates tracked since 2016).

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About Colleen Bettilyen Davenport Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN BETTILYEN DAVENPORT PMHNP (NPI 1003223694) is an individual psychiatric/mental health provider in Baker City, Oregon, licensed in Oregon (201909237NP-PP) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003223694

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCOLLEEN BETTILYEN DAVENPORTCredential: PMHNP

Location Address3425 13TH STBaker City, OR 97814-1340

Mailing Address3425 13th StBacker City, OR 97814-1340 · (541) 523-7400 · Fax (541) 523-4927

Phone(541) 523-7400

Fax(253) 584-1508

Sole ProprietorYes

Enumeration DateJuly 16, 2014

Last NPPES UpdateMarch 25, 20223 updates tracked since enumeration

NPPES CertifiedMarch 25, 2022

✔ NPI 1003223694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 201909237NP-PP✔ Licensed in WA · AP60443726

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License AP60443726 (WA)

3425 13TH ST, Baker City, OR 97814

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Other Identifiers 1

Medicaid500770467OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Bettilyen Davenport Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AUBREYANNA M HENSHAW QMHA; CADC-R

Social Worker