MELISSA M DAVENPORT PA
NPI 1538425822
Physician Assistant - Medical in Rigby, ID

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
167 E 1ST S, RIGBY, ID 83442(208) 745-8747(208) 745-9396 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa M Davenport Pa NPPES

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

MELISSA M DAVENPORT PA (NPI 1538425822) is an individual medical provider in Rigby, Idaho and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538425822
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMELISSA M DAVENPORTCredential: PA
Location Address167 E 1ST SRigby, ID 83442-1401
Mailing Address167 E 1st SRigby, ID 83442 · (208) 745-8747 · Fax (208) 745-9396
Fax(208) 745-9396
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 11, 2012
NPI 1538425822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
167 E 1ST S, Rigby, ID 83442

Accepted Insurance

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

Melissa M Davenport Pa 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 ID2163688169
PECOS Enrollment IDI20120719000002
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

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$15.79 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
1 supplier16 claims16 services$82.88 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 8

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

Family Medicine
167 E 1ST S
RIGBY, ID 83442
Nurse Practitioner (Family)
167 E 1ST S
RIGBY, ID 83442
Clinic/Center (Rural Health)
167 E 1ST S
RIGBY, ID 83442
Durable Medical Equipment & Medical Supplies (Customized Equipment)
167 E 1ST S
RIGBY, ID 83442
Physician Assistant
167 E 1ST S
RIGBY, ID 83442
Physician Assistant (Medical)
167 E 1ST S
RIGBY, ID 83442
Family Medicine
167 E 1ST S
RIGBY, ID 83442
Family Medicine
167 E 1ST S
RIGBY, ID 83442

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 Melissa Davenport's NPI number?

The NPI number for Melissa Davenport is 1538425822. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Melissa Davenport located?

Melissa Davenport practices at 167 E 1st S, Rigby, ID 83442. The listed phone number is (208) 745-8747.

What is Melissa Davenport's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Melissa Davenport enrolled in Medicare?

Yes. Melissa 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.

What insurance does Melissa Davenport accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Melissa Davenport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melissa Davenport affiliated with any hospitals?

According to CMS data, Melissa Davenport is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Davenport was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.