AMBER NOEL DAVENPORT PA-C
NPI 1619227592
Physician Assistant - Medical in Portage, MI

Active since September 18, 2012PECOS EnrolledAccepts Medicare Assignment
245 W CENTRE AVE, PORTAGE, MI 49024(269) 323-2450 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amber Noel Davenport Pa-c NPPES

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

AMBER NOEL DAVENPORT PA-C (NPI 1619227592) is an individual medical provider in Portage, Michigan, licensed in Michigan (5601006455) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kalamazoo, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619227592
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMBER NOEL DAVENPORTCredential: PA-C
Location Address245 W CENTRE AVEPortage, MI 49024-5331
Mailing Address825 N Center AvenueGaylord, MI 49735 · (989) 731-7708 · Fax (989) 731-7929
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 18, 2012
Last NPPES UpdateApril 2, 2020
NPPES CertifiedApril 2, 2020
NPI 1619227592 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
License Licensed in MI · 5601006455
245 W CENTRE AVE, Portage, MI 49024

Secondary Practice Location 1

Location 16565 W Main StKalamazoo, MI 49009-9199 · Phone (269) 375-0400 · Fax (269) 372-8478

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

Amber Noel Davenport Pa-c 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 ID3173776119
PECOS Enrollment IDI20121227000033
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.

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 Amber Davenport's NPI number?

The NPI number for Amber Davenport is 1619227592. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Amber Davenport located?

Amber Davenport practices at 245 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 323-2450.

What is Amber Davenport's specialty?

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

Is Amber Davenport enrolled in Medicare?

Yes. Amber 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 Amber Davenport accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Amber 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.

When was this NPI record last updated?

The NPPES record for Amber Davenport was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.