LESLIE D. DAVENPORT APRN
NPI 1821408410
Nurse Practitioner - Family in Tahlequah, OK

Q: What is Leslie Davenport's NPI number?

The NPI number for Leslie Davenport is 1821408410. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Q: What is Leslie Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Davenport was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment

91.18/100

CMS Quality Rating

1500 E DOWNING ST STE 214, TAHLEQUAH, OK 74464(918) 772-2244 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Leslie D. Davenport Aprn NPPES

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

LESLIE D. DAVENPORT APRN (NPI 1821408410) is an individual family provider in Tahlequah, Oklahoma, licensed in Oklahoma (89863) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821408410

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLESLIE D. DAVENPORTCredential: APRN

Location Address1500 E DOWNING ST STE 214Tahlequah, OK 74464-3379

Mailing AddressPo Box 751Hulbert, OK 74441-0751 · (918) 772-3390 · Fax (918) 431-0203

Phone(918) 772-2244

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 5, 2014

Last NPPES UpdateJune 4, 2019

✔ NPI 1821408410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 89863

1500 E DOWNING ST STE 214, Tahlequah, OK 74464

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health, 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

Leslie D. Davenport Aprn 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 ID5799901112

PECOS Enrollment IDI20140721002024

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 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.

119 services88 patients

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.

23 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370089

Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.27

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

LISTA MARIE DALLIS

Nurse Practitioner (Family)