VICTORIA NICOLE DAVENPORT DO
NPI 1750873170
Family Medicine in Bangor, ME

Q: What is Victoria Davenport's NPI number?

The NPI number for Victoria Davenport is 1750873170. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Q: What is Victoria Davenport's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 01, 2018PECOS Enrolled

895 UNION ST STE 12, BANGOR, ME 04401(207) 973-7979(207) 947-9579 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2021, Jul 8, 2021 (2 updates tracked since 2021).

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About Victoria Nicole Davenport Do NPPES

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

VICTORIA NICOLE DAVENPORT DO (NPI 1750873170) is an individual family medicine provider in Bangor, Maine, licensed in Maine (DO3241) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Northern Light Sebasticook Valley Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750873170

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVICTORIA NICOLE DAVENPORTCredential: DO

Location Address895 UNION ST STE 12Bangor, ME 04401-3054

Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5042

Phone(207) 973-7979

Fax(207) 947-9579

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 1, 2018

Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration

NPPES CertifiedJuly 30, 2021

✔ NPI 1750873170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ME · DO3241

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

895 UNION ST STE 12, Bangor, ME 04401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Nicole Davenport Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204184153

PECOS Enrollment IDI20210802000701

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.

Hospital Affiliations CMS Care Compare

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

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201313

Location447 North Main StreetPittsfield, ME 04967 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

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.

HEATH MYERS LCSW

Social Worker (Clinical)