MISS TRACY LYNN DAVENPORT CRNA
NPI 1053489344
Nurse Anesthetist, Certified Registered in Little Rock, AR
About Miss Tracy Lynn Davenport Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS TRACY LYNN DAVENPORT CRNA (NPI 1053489344) is an individual nurse anesthetist, certified registered in Little Rock, Arkansas, licensed in Arkansas (C02646 CRNA) and active in the NPI registry since December 2006. She is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miss Tracy Lynn Davenport Crna 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.
Medicare Billing Reassignments
7Medicare enrollment records show Tracy Davenport reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: Premier Gastroenterology Associates PLLC
- 72 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 4 clinicians in this Medicare group
Little Rock, AR 72212
- Reassigned Medicare billing, Arkansas enrollment
- 50 clinicians in this Medicare group
Little Rock, AR 72212
- Reassigned Medicare billing, Arkansas enrollment
- 84 clinicians in this Medicare group
Benton, AR 72015
- Reassigned Medicare billing, Arkansas enrollment
- 182 clinicians in this Medicare group
Conway, AR 72032
- Reassigned Medicare billing, Arkansas enrollment
- 17 clinicians in this Medicare group
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 Tracy Davenport's NPI number?
The NPI number for Tracy Davenport is 1053489344. It was assigned to this individual provider in the NPPES registry on December 2, 2006.
Where is Tracy Davenport located?
Tracy Davenport practices at 4301 W Markham St # 783, Little Rock, AR 72205. The listed phone number is (501) 686-8000.
What is Tracy Davenport's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tracy Davenport enrolled in Medicare?
Yes. Tracy 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.
Which organizations bill Medicare for Tracy Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Davenport reassigns Medicare benefits to 7 organizations: Premier Gastroenterology Associates-Anes PLLC (Little Rock, AR), Central Arkansas Gastroenterology Anesthesia Services, LLC (Little Rock, AR), Bp Anesthesia, PLLC (Little Rock, AR), Gastro Anesthesia PLLC (Little Rock, AR), Arkansas Anesthesia Associates, PLLC. (Benton, AR) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Davenport accept?
Health plans from Health Advantage and Octave list Tracy 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.
When was this NPI record last updated?
The NPPES record for Tracy Davenport was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Miss Tracy Lynn Davenport, CRNA · NPI 1053489344
Nurse Anesthetist, Certified Registered physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since December 2, 2006.
## Identity
- **NPI:** 1053489344 (Entity type: Individual)
- **Enumerated:** December 2, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** C02646 CRNA (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST # 783, Little Rock, AR 72205-7101
- **Phone:** (501) 686-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Premier Gastroenterology Associates-Anes PLLC (NPI 1689163982, Little Rock, AR); Central Arkansas Gastroenterology Anesthesia Services, LLC (NPI 1639678022, Little Rock, AR); Bp Anesthesia, PLLC (NPI 1942736285, Little Rock, AR); Gastro Anesthesia PLLC (NPI 1366700890, Little Rock, AR); Arkansas Anesthesia Associates, PLLC. (NPI 1497023360, Benton, AR); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 2, 2007
- **Other identifiers:** Medicare PIN 5A136 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1053489344) · Data from the CMS NPPES public registry.