CHARLISA DAVENPORT
NPI 1740648344
Nurse Practitioner - Psychiatric/Mental Health in Denver, CO
About Charlisa Davenport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLISA DAVENPORT (NPI 1740648344) is an individual psychiatric/mental health provider in Denver, Colorado, licensed in Colorado (C-APN.0003579-C-NP) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlisa Davenport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charlisa Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gilliam, LA 71029
- Reassigned Medicare billing, Louisiana enrollment
- 70 clinicians in this Medicare group
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 80205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENVER, CO 80205
DENVER, CO 80205
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 Charlisa Davenport's NPI number?
The NPI number for Charlisa Davenport is 1740648344. It was assigned to this individual provider in the NPPES registry on February 10, 2016. The provider is also known as Charlisa Brown.
Where is Charlisa Davenport located?
Charlisa Davenport practices at 3095 Wilson Ct, Denver, CO 80205. The listed phone number is (303) 803-5726.
What is Charlisa Davenport's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Charlisa Davenport enrolled in Medicare?
Yes. Charlisa Davenport is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charlisa Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlisa Davenport reassigns Medicare benefits to David Raines Community Health Center, Inc (Gilliam, LA). 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 Charlisa 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 Charlisa Davenport was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Charlisa Davenport · NPI 1740648344
Psychiatric/Mental Health physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since February 10, 2016.
## Identity
- **NPI:** 1740648344 (Entity type: Individual)
- **Enumerated:** February 10, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** C-APN.0003579-C-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 3095 WILSON CT, Denver, CO 80205-4945
- **Phone:** (303) 803-5726
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** David Raines Community Health Center, Inc (NPI 1598761496, Gilliam, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740648344) · Data from the CMS NPPES public registry.