ELISSA JO DAVENPORT NP
NPI 1962824375
Nurse Practitioner - Pediatrics in Caledonia, MI

Q: What is Elissa Davenport's NPI number?

The NPI number for Elissa Davenport is 1962824375. It was assigned to this individual provider in the NPPES registry on January 21, 2014. The provider is also known as Elissa Jo Stier Np.

Q: What is Elissa Davenport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Elissa Davenport was last updated on February 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 21, 2014PECOS Enrolled

8941 N RODGERS CT SE, CALEDONIA, MI 49316(616) 252-5300(616) 252-5390 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2019, Dec 7, 2017, Feb 17, 2017 (3 updates tracked since 2017).

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About Elissa Jo Davenport Np NPPES

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

ELISSA JO DAVENPORT NP (NPI 1962824375) is an individual pediatrics provider in Caledonia, Michigan, licensed in Michigan (4704260086) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962824375

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameELISSA JO DAVENPORTCredential: NP

Location Address8941 N RODGERS CT SECaledonia, MI 49316-8013

Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260

Phone(616) 252-5300

Fax(616) 252-5390

Sole ProprietorNo

Enumeration DateJanuary 21, 2014

Last NPPES UpdateFebruary 5, 20193 updates tracked since enumeration

✔ NPI 1962824375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in MI · 4704260086

8941 N RODGERS CT SE, Caledonia, MI 49316

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Other Names 1

Former Name (1)Elissa Jo Stier Np

Other Identifiers 1

Other4704260086MI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority 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 (PECOS)

Elissa Jo Davenport Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49316 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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Other Providers at the Same Location NPPES 14

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

JULIE STINTON

Nurse Practitioner