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MIKE S DAVENPORT FNP
NPI 1295789576
Nurse Practitioner in Mc Leansboro, IL

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
206 S WASHINGTON ST, MC LEANSBORO, IL 62859(618) 643-2835(618) 643-2891 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mike S Davenport Fnp NPPES

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

MIKE S DAVENPORT FNP (NPI 1295789576) is an individual nurse practitioner in Mc Leansboro, Illinois, licensed in Illinois (209.005569) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1295789576
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMIKE S DAVENPORTCredential: FNP
Location Address206 S WASHINGTON STMc Leansboro, IL 62859-1139
Mailing Address206 S Washington StMc Leansboro, IL 62859-1139 · (618) 643-2835 · Fax (618) 643-2891
Phone(618) 643-2835
Fax(618) 643-2891
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 20, 2006
Last NPPES UpdateApril 22, 2022
NPPES CertifiedApril 22, 2022
✔ NPI 1295789576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.005569
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.005569 (IL)
206 S WASHINGTON ST, Mc Leansboro, IL 62859
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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

Mike S Davenport Fnp 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 ID2062434616
PECOS Enrollment IDI20051222000477
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services45 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services41 patients

Hospital Affiliations CMS Care Compare

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

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62859 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.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers51 claims95 services$5.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers34 claims35 services$1.05 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers43 claims43 services$7.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers42 claims42 services$116.43 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers20 claims5,565 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,020 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DEACONESS SPECIALTY PHYSICIANS, INC
Internal Medicine (Cardiovascular Disease)
206 S WASHINGTON ST
MC LEANSBORO, IL 62859
Hamilton County (812) 450-7899
KATELYN NELSON FNP
Nurse Practitioner (Family)
206 S WASHINGTON ST
MC LEANSBORO, IL 62859
Hamilton County (618) 643-2835

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 Mike Davenport's NPI number?

The NPI number for Mike Davenport is 1295789576. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Mike Davenport located?

Mike Davenport practices at 206 S Washington St, Mc Leansboro, IL 62859. The listed phone number is (618) 643-2835.

What is Mike Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mike Davenport enrolled in Medicare?

Yes. Mike 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 Mike Davenport affiliated with any hospitals?

According to CMS data, Mike Davenport is affiliated with Ferrell Hospital Community Foundations.

When was this NPI record last updated?

The NPPES record for Mike Davenport was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.