LAURA BETH DAVENPORT FNP-C
NPI 1679944946
Nurse Practitioner in Tyler, TX

Q: What is Laura Davenport's NPI number?

The NPI number for Laura Davenport is 1679944946. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Q: What is Laura Davenport's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laura Davenport was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 13, 2015PECOS EnrolledAccepts Medicare Assignment

520 DOUGLAS BLVD, TYLER, TX 75702(903) 593-1721 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Nov 2, 2021, Jan 10, 2017 and 9 more (12 updates tracked since 2015).

On this page

About Laura Beth Davenport Fnp-c NPPES

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

LAURA BETH DAVENPORT FNP-C (NPI 1679944946) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (AP129297) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1679944946

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAURA BETH DAVENPORTCredential: FNP-C

Location Address520 DOUGLAS BLVDTyler, TX 75702-8307

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400

Phone(903) 593-1721

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 13, 2015

Last NPPES UpdateSeptember 19, 202512 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1679944946 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 TX · AP129297

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.

520 DOUGLAS BLVD, Tyler, TX 75702

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Secondary Practice Location 1

Location 1619 S Fleishel Ave Ste 327Tyler, TX 75701-2019 · Phone (903) 606-1400

Other Identifiers 23

Other75-2616977-007TX · Tricare

Other8343NSTX · Bcbs

Medicaid352819204TX

Other75-0818167-015TX · Tricare

Other850NYTX · Bcbs

Other75-2616977-129TX · Tricare

Other8478NYTX · Bcbs

Medicaid352819201TX

Other75-0818167-048TX · Tricare

Other75-2616977-028TX · Tr

OtherP01707526TX · Rail Road Medicare

Medicaid352819202TX

Medicaid352819203TX

Other75-2616977-002TX · Tricare

Other75-2616977-118TX · Tricare

Other75-0818167-022TX · Tricare

Other75-0818167-044TX · Tricare

Other75-1976930-005TX · Tricare

Other75-2616977-023TX · Triucare

OtherP01569953TX · Rail Road Medicare

Other75-2616977-001TX · Tricare

Other8946NYTX · Bcbs

OtherP01707529TX · Rail Road Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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

Laura Beth Davenport Fnp-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 ID3577873165

PECOS Enrollment IDI20151111001205

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

202 services189 patients

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.

104 services97 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

71 services65 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450032

Location700 E Marshall AveLongview, TX 75601 · Gregg County

Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450236

Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Prosthetic shrinker, below knee, each L8440

DME-Orthotic Devices · category DF000N

1 supplier11 claims13 services$36.63 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 20

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

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