MADDALENA DAVENPORT APRN
NPI 1154157808
Nurse Practitioner - Family in Roanoke, IL
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 Katherine Shaw Bethea Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Maddalena Davenport reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Henry, IL 61537
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1790363505 (Illinois)
- 93 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Pontiac, IL 61764
- Reassigned Medicare billing, Illinois enrollment
- 130 clinicians in this Medicare group
Mendota, IL 61342
- Reassigned Medicare billing, Illinois enrollment
- 95 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Katherine Shaw Bethea Hospital
Acute Care Hospitals · Dixon, ILOsf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILOsf Saint Paul Medical Center
Critical Access Hospitals · Mendota, ILPhysician 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.
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.
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.
Which organizations bill Medicare for Maddalena Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maddalena Davenport reassigns Medicare benefits to 4 organizations: Osf Healthcare System (Henry, IL), Osf Multi-Specialty Group (Peoria, IL), Saint James Hospital (Pontiac, IL) and Mendota Community Hospital (Mendota, IL). 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 Maddalena Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Maddalena Davenport affiliated with any hospitals?
According to CMS data, Maddalena Davenport is affiliated with Katherine Shaw Bethea Hospital, Osf Saint Elizabeth Mdl Ctr and Osf Saint Paul 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 2 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.
# Maddalena Davenport, APRN · NPI 1154157808
Family physician in Roanoke, Illinois. Individual provider, active in the CMS NPPES registry since September 10, 2024.
## Identity
- **NPI:** 1154157808 (Entity type: Individual)
- **Enumerated:** September 10, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209030516 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 N MAIN ST, Roanoke, IL 61561-7585
- **Phone:** (309) 923-2661
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Osf Healthcare System (NPI 1982311627, Henry, IL); Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL); Saint James Hospital (NPI 1790735421, Pontiac, IL); Mendota Community Hospital (NPI 1407872997, Mendota, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154157808) · Data from the CMS NPPES public registry.