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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. LILY DAVENPORT PMHNP
NPI 1689557894
Nurse Practitioner - Psychiatric/Mental Health in East Brunswick, NJ

Active since July 28, 2025PECOS Enrolled
180 TICES LN STE 205, EAST BRUNSWICK, NJ 08816(732) 247-1040 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lily Davenport Pmhnp NPPES

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

MS. LILY DAVENPORT PMHNP (NPI 1689557894) is an individual psychiatric/mental health provider in East Brunswick, New Jersey, licensed in New Jersey (26NJ15367700) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689557894
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. LILY DAVENPORTCredential: PMHNP
Location Address180 TICES LN STE 205East Brunswick, NJ 08816-1345
Mailing Address180 Tices Ln Ste 205East Brunswick, NJ 08816-1345 · (347) 610-4116
Phone(732) 247-1040
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 28, 2025
Last NPPES UpdateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1689557894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15367700
180 TICES LN STE 205, East Brunswick, NJ 08816
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lily Davenport Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062904873
PECOS Enrollment IDI20251119004289
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 08816 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Lily Davenport's NPI number?

The NPI number for Lily Davenport is 1689557894. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Lily Davenport located?

Lily Davenport practices at 180 Tices Ln Ste 205, East Brunswick, NJ 08816. The listed phone number is (732) 247-1040.

What is Lily Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lily Davenport enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lily Davenport was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.