Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB DAVENPORT NP
NPI 1275412355
Nurse Practitioner - Psychiatric/Mental Health in Rochester, MI

Q: What is Jacob Davenport's NPI number?

The NPI number for Jacob Davenport is 1275412355. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Q: What is Jacob Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Davenport was last updated on October 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since September 02, 2025PECOS Enrolled

900 W UNIVERSITY DR STE A-2, ROCHESTER, MI 48307(248) 266-0920 Get Directions Write a Review

NPPES record last updated: October 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2026, Sep 2, 2025 (2 updates tracked since 2025).

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About Jacob Davenport Np NPPES

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

JACOB DAVENPORT NP (NPI 1275412355) is an individual psychiatric/mental health provider in Rochester, Michigan, licensed in Michigan (4704387820) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Okemos.

NPPES Registry Identity

NPI1275412355

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJACOB DAVENPORTCredential: NP

Location Address900 W UNIVERSITY DR STE A-2Rochester, MI 48307-1817

Mailing Address900 W University Dr Ste A-2Rochester, MI 48307-1817 · (248) 266-0920 · Fax (248) 266-0898

Phone(248) 266-0920

Sole ProprietorYes

Enumeration DateSeptember 2, 2025

Last NPPES UpdateOctober 24, 20262 updates tracked since enumeration

NPPES CertifiedOctober 24, 2026

✔ NPI 1275412355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704387820

900 W UNIVERSITY DR STE A-2, Rochester, MI 48307

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Secondary Practice Location 1

Location 12157 University Park DrOkemos, MI 48864-5956 · Phone (517) 243-9738

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Davenport Np 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 48307 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 2

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

JOHN RILEY PA-C

Physician Assistant

900 W UNIVERSITY DR STE A-2
ROCHESTER, MI 48307

Oakland County (248) 266-0920

CASSIE FELDPAUSCH LMSW

Social Worker (Clinical)

900 W UNIVERSITY DR STE A-2
ROCHESTER, MI 48307

Oakland County (248) 266-0920

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 Jacob Davenport's NPI number?

The NPI number for Jacob Davenport is 1275412355. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Jacob Davenport located?

Jacob Davenport practices at 900 W University Dr Ste A-2, Rochester, MI 48307. The listed phone number is (248) 266-0920.

What is Jacob Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacob Davenport enrolled in Medicare?

Yes. Jacob Davenport is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Davenport was last updated on October 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.