1. Home
  2. Directory
  3. Missouri
  4. Liberty
  5. Anesthesiologist Assistant
  6. NPI Profile

VICTORIA GRACE DAVENPORT CAA
NPI 1821985409
Anesthesiologist Assistant in Liberty, MO

Active since June 18, 2025Accepts Medicare Assignment
2525 GLENN HENDREN DR, LIBERTY, MO 64068(816) 781-7200 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victoria Grace Davenport Caa NPPES

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

VICTORIA GRACE DAVENPORT CAA (NPI 1821985409) is an individual anesthesiologist assistant in Liberty, Missouri, licensed in Missouri (2025024785) and active in the NPI registry since June 2025. The provider is affiliated with New Liberty Hospital District and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821985409
Entity TypeIndividual
Primary Taxonomy367H00000X
Provider Legal NameVICTORIA GRACE DAVENPORTCredential: CAA
Location Address2525 GLENN HENDREN DRLiberty, MO 64068-9625
Mailing Address1104 Se Graham Ridge RdBlue Springs, MO 64014-4101 · (816) 308-6486
Phone(816) 781-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 18, 2025
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1821985409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MO · 2025024785
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
2525 GLENN HENDREN DR, Liberty, MO 64068
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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

Victoria Grace Davenport Caa 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 ID1254848880
PECOS Enrollment IDI20250729002017

Hospital Affiliations CMS Care Compare

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

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

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.

JULIE ANNE MARX D.O.
Internal Medicine
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 781-7200
DR. JACOB SEILS DO
Hospitalist
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 781-7200
GUSSIE SHEMWELL
Nurse Practitioner (Family)
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 781-7200
ALEXSIS ANN PERDUE C-AA
Anesthesiologist Assistant
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 792-7037
DR. THERON B BARR DO
Emergency Medicine
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 792-7000
DR. JOSEPH CARESIO MD
Radiology (Vascular & Interventional Radiology)
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 407-2038
POOJA A PATEL AA
Anesthesiologist Assistant
2525 GLENN HENDREN DR
LIBERTY, MO 64068
Clay County (816) 781-7200
MISS JULIE ANN HOUGH NP-C
Nurse Practitioner (Family)
2525 GLENN HENDREN DR, PAIN MANAGEMENT
LIBERTY, MO 64068
Clay County (816) 781-7200

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 Victoria Davenport's NPI number?

The NPI number for Victoria Davenport is 1821985409. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Victoria Davenport located?

Victoria Davenport practices at 2525 Glenn Hendren Dr, Liberty, MO 64068. The listed phone number is (816) 781-7200.

What is Victoria Davenport's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Victoria Davenport enrolled in Medicare?

Yes. Victoria Davenport is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Victoria Davenport accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Victoria Davenport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Victoria Davenport affiliated with any hospitals?

According to CMS data, Victoria Davenport is affiliated with New Liberty Hospital District.

When was this NPI record last updated?

The NPPES record for Victoria Davenport was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.