MRS. MARDI L DAVENPORT N.P.
NPI 1609182583
Nurse Practitioner - Family in Surprise, AZ

Q: What is Mardi Davenport's NPI number?

The NPI number for Mardi Davenport is 1609182583. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Q: What is Mardi Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mardi Davenport was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 August 30, 2010PECOS Enrolled

15474 W GREENWAY RD, SURPRISE, AZ 85374(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Mardi L Davenport N.p. NPPES

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

MRS. MARDI L DAVENPORT N.P. (NPI 1609182583) is an individual family provider in Surprise, Arizona, licensed in Arizona (AP3719) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1609182583

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARDI L DAVENPORTCredential: N.P.

Location Address15474 W GREENWAY RDSurprise, AZ 85374-4348

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (480) 301-8000

Phone(866) 389-2727

Sole ProprietorNo

Enumeration DateAugust 30, 2010

Last NPPES UpdateOctober 29, 2025

NPPES CertifiedOctober 29, 2025

✔ NPI 1609182583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP3719

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP3719 (AZ)

15474 W GREENWAY RD, Surprise, AZ 85374

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Secondary Practice Location 1

Location 113400 E Shea BlvdScottsdale, AZ 85259-5499 · Phone (480) 301-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mardi L Davenport N.p. 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.

Medicare Billing Reassignments

Medicare enrollment records show Mardi Davenport reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Family Medicine Plc

8.1 mi

Family Medicine

14044 W CAMELBACK RD STE 204
Litchfield Park, AZ 85340

Reassigned Medicare billing, Arizona enrollment
7 clinicians in this Medicare group

NPI 1639208325 (623) 935-9600

Mayo Clinic Arizona

35 mi

Multi-Specialty

13400 E SHEA BLVD
Scottsdale, AZ 85259

Reassigned Medicare billing, Arizona enrollment
1,792 clinicians in this Medicare group

NPI 1558332494 (480) 301-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

272 services125 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

109 services78 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

67 services67 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

56 services56 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

54 services54 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85374 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 7

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

SARAH M WASHBURN

Nurse Practitioner (Family)