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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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lily Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
Same address
Psychiatry
180 TICES LN BLDG A, STE 205
East Brunswick, NJ 08816
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1770646358 (732) 247-1040

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

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.

Which organization bills Medicare for Lily Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Davenport reassigns Medicare benefits to (East Brunswick, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lily Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.