MADDALENA DAVENPORT APRN
NPI 1154157808
Nurse Practitioner - Family in Roanoke, IL

Active since September 10, 2024PECOS EnrolledAccepts Medicare Assignment
401 N MAIN ST, ROANOKE, IL 61561(309) 923-2661 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maddalena Davenport Aprn NPPES

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

MADDALENA DAVENPORT APRN (NPI 1154157808) is an individual family provider in Roanoke, Illinois, licensed in Illinois (209030516) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154157808
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADDALENA DAVENPORTCredential: APRN
Location Address401 N MAIN STRoanoke, IL 61561-7585
Mailing Address918 E Cleveland StLadd, IL 61329-9720 · (815) 303-7652
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 10, 2024
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
NPI 1154157808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209030516
401 N MAIN ST, Roanoke, IL 61561

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

Maddalena Davenport Aprn 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 ID5890236228
PECOS Enrollment IDI20240925001073
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.

Hospital Affiliations CMS Care Compare 5

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61561 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Nurse Practitioner
401 N MAIN ST
ROANOKE, IL 61561
Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Nurse Practitioner (Pediatrics)
401 N MAIN ST
ROANOKE, IL 61561
Clinic/Center (Rural Health)
401 N MAIN ST
ROANOKE, IL 61561
Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Nurse Practitioner (Family)
401 N MAIN ST
ROANOKE, IL 61561
Nurse Practitioner (Pediatrics)
401 N MAIN ST
ROANOKE, IL 61561

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 Maddalena Davenport's NPI number?

The NPI number for Maddalena Davenport is 1154157808. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Maddalena Davenport located?

Maddalena Davenport practices at 401 N Main St, Roanoke, IL 61561. The listed phone number is (309) 923-2661.

What is Maddalena Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maddalena Davenport enrolled in Medicare?

Yes. Maddalena 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.

Is Maddalena Davenport affiliated with any hospitals?

According to CMS data, Maddalena Davenport is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Osf Saint Paul Medical Center, Osf Saint Luke Medical Center and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Maddalena Davenport was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.