Dr Courtney Deanne Davenport, DNP - Medicare Nurse Practitioner in Republic, MO

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Dr Courtney Deanne Davenport, DNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Republic, Missouri. Her current practice location is 1173 E Hines St, Republic, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 735-0055.

Dr Courtney Deanne Davenport is licensed to practice in Missouri (license number 2018034729) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558145516.

Contact Information

Dr Courtney Deanne Davenport, DNP
1173 E Hines St,
Republic, MO 65738-1277
(417) 735-0055
Not Available

Map and Direction




Provider's Profile

Full NameDr Courtney Deanne Davenport
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location1173 E Hines St, Republic, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558145516
  • Provider Enumeration Date: 08/22/2023
  • Last Update Date: 03/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517313919
  • Enrollment ID: I20231020001632

Medical Identifiers

Medical identifiers for Dr Courtney Deanne Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558145516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 2023036518 (Missouri)Secondary
363LG0600XNurse Practitioner - Gerontology 2018034729 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Courtney Deanne Davenport allows following entities to bill medicare on her behalf.
Entity NameNp Health Of Mo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477170959
PECOS PAC ID: 4183047053
Enrollment ID: O20200710000779
Entity NameHines Street Pharmacy 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790439842
PECOS PAC ID: 0840685806
Enrollment ID: O20240328002606

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Courtney Deanne Davenport is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Courtney Deanne Davenport, DNP
1631 S Broadway Ave,
Springfield, MO 65807-1941

Ph: (417) 576-7869		Dr Courtney Deanne Davenport, DNP
1173 E Hines St,
Republic, MO 65738-1277

Ph: (417) 735-0055

Reviews and Comments


Nurse Practitioner Nurses in Republic, MO

Mr. Craig Brian Eden, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 474 Hudson Ave, Republic, MO 65738
Phone: 417-619-1128    
Sharon Igou,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 820 S Illinois Ave, Republic, MO 65738
Phone: 417-269-1910    Fax: 417-269-1916
Erin Elizabeth Casey, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 332 S Main Ave, Republic, MO 65738
Phone: 417-732-5050    
Mrs. Amy Sue Ridenour, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 429 N Douglas Dr, Republic, MO 65738
Phone: 417-350-9327    
Mary M. Burch, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1150 Us Highway 60 E, Republic, MO 65738
Phone: 417-732-2255    Fax: 417-732-2166
Kathryn A. Herfkens-ampleman, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 332 S Main Ave, Republic, MO 65738
Phone: 417-732-5050    Fax: 417-732-8061

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.