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DEANNA L DAVENPORT NP
NPI 1467510644
Nurse Practitioner in East Carondelet, IL

Active since December 04, 2006PECOS Enrolled
401 KELLINGS FARM RD, EAST CARONDELET, IL 62240(678) 517-4802 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deanna L Davenport Np NPPES

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

DEANNA L DAVENPORT NP (NPI 1467510644) is an individual nurse practitioner in East Carondelet, Illinois, licensed in Georgia (RN127022) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467510644
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEANNA L DAVENPORTCredential: NP
Location Address401 KELLINGS FARM RDEast Carondelet, IL 62240-1241
Mailing Address401 Kellings Farm RdEast Carondelet, IL 62240-1241 · (678) 517-4802
Phone(678) 517-4802
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateNovember 15, 2025
NPPES CertifiedNovember 15, 2025
✔ NPI 1467510644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN127022
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.
401 KELLINGS FARM RD, East Carondelet, IL 62240
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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 (PECOS)

Deanna L 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 62240 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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 Deanna Davenport's NPI number?

The NPI number for Deanna Davenport is 1467510644. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Deanna Davenport located?

Deanna Davenport practices at 401 Kellings Farm Rd, East Carondelet, IL 62240. The listed phone number is (678) 517-4802.

What is Deanna Davenport's specialty?

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

Is Deanna Davenport enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Deanna Davenport was last updated on November 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.