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NICOLE BAUTISTA DAVENPORT P.A.-C
NPI 1023382009
Physician Assistant in Houston, TX

Active since March 08, 2012PECOS EnrolledAccepts Medicare Assignment
6560 FANNIN ST, SUITE 1842, HOUSTON, TX 77030(713) 790-2089(713) 794-0576 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 7, 2017 (2 updates tracked since 2017).

About Nicole Bautista Davenport P.a.-c NPPES

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

NICOLE BAUTISTA DAVENPORT P.A.-C (NPI 1023382009) is an individual physician assistant in Houston, Texas, licensed in Texas (PA07728) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1023382009
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE BAUTISTA DAVENPORTCredential: P.A.-C
Location Address6560 FANNIN ST, SUITE 1842Houston, TX 77030-2761
Mailing Address6560 Fannin St Ste 1842Houston, TX 77030-2715 · (713) 790-2089
Phone(713) 790-2089
Fax(713) 794-0576
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 8, 2012
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1023382009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA07728
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA00000 (TX)
6560 FANNIN ST, Houston, TX 77030
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Secondary Practice Location 1

Location 16560 Fannin St, Suite 1842Houston, TX 77030-2761 · Phone (713) 790-2089 · Fax (713) 794-0576

Other Identifiers 1

Medicaid296297903TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Bautista Davenport P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406017516
PECOS Enrollment IDI20120417000798
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

JANET L ATTISHA RN, ACNP
Nurse Practitioner
6560 FANNIN ST, STE 1260
HOUSTON, TX 77030
Harris County (713) 797-0466
TIEN WONG M.D.
Ophthalmology
6560 FANNIN ST, STE 750
HOUSTON, TX 77030
Harris County (713) 524-3434
DR. OLGA WALN M.D.
Psychiatry & Neurology (Neurology)
6560 FANNIN ST, STE 802
HOUSTON, TX 77030
Harris County (713) 441-9551
PARTNERS IN INTERNAL MEDICINE, P.A.
Internal Medicine
6560 FANNIN ST, SUITE 1012
HOUSTON, TX 77030
Harris County (281) 657-0770
KEVIN ANTHONY GRIMES MD
Internal Medicine (Infectious Disease)
6560 FANNIN ST, SUITE 1540
HOUSTON, TX 77030
Harris County (713) 799-9997
DR. MICHAEL POOL COSELLI M.D.
Surgery
6560 FANNIN ST, STE 1608
HOUSTON, TX 77030
Harris County (713) 796-1608
DR. WILLIAM HYPES OBENOUR JR. M.D.
Internal Medicine
6560 FANNIN ST, SUITE 1112
HOUSTON, TX 77030
Harris County (713) 790-1541
BAYLOR COLLEGE OF MEDICINE UROLOGY
Specialist
6560 FANNIN ST, SUITE 2100
HOUSTON, TX 77030
Harris County (713) 798-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Davenport's NPI number?

The NPI number for Nicole Davenport is 1023382009. It was assigned to this individual provider in the NPPES registry on March 8, 2012.

Where is Nicole Davenport located?

Nicole Davenport practices at 6560 Fannin St Suite 1842, Houston, TX 77030. The listed phone number is (713) 790-2089.

What is Nicole Davenport's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Davenport enrolled in Medicare?

Yes. Nicole Davenport is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Davenport accept?

Health plans from Community Health Choice and Molina Healthcare list Nicole Davenport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Davenport affiliated with any hospitals?

According to CMS data, Nicole Davenport is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Davenport was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.