Jack Adam Davenport, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Des Moines, IA

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Jack Adam Davenport, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Des Moines, Iowa. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Associated Anesthesiologists Pc and his current practice location is 1200 Pleasant St, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 241-6372.

Jack Adam Davenport is licensed to practice in Iowa (license number 121287) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699102301.

Contact Information

Jack Adam Davenport, CRNA
1200 Pleasant St,
Des Moines, IA 50309-1406
(515) 241-6372
Not Available

Map and Direction




Provider's Profile

Full NameJack Adam Davenport
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location1200 Pleasant St, Des Moines, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack Adam Davenport graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1699102301
  • Provider Enumeration Date: 09/27/2013
  • Last Update Date: 06/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638308257
  • Enrollment ID: I20140131000150

Medical Identifiers

Medical identifiers for Jack Adam Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699102301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 121287 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Unitypoint Health - Des Moines Iowa Methodist MediDes moines, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Anesthesiologists Pc963806830758

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. Jack Adam Davenport allows following entities to bill medicare on his behalf.
Entity NameAssociated Anesthesiologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215904750
PECOS PAC ID: 9638068307
Enrollment ID: O20040311000774

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. Jack Adam 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
Jack Adam Davenport, CRNA
4201 Westown Pkwy Ste 236,
West Des Moines, IA 50266-6720

Ph: (515) 401-1950		Jack Adam Davenport, CRNA
1200 Pleasant St,
Des Moines, IA 50309-1406

Ph: (515) 241-6372

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Des Moines, IA

Nathan Michael Soriano, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 1111 6th Ave, Des Moines, IA 50314
Phone: 515-247-3121    
Jillian Joann Grund, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 700 E University Ave, Des Moines, IA 50316
Phone: 515-263-5633    
Melissa Ann Snyder,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 E University Ave, Des Moines, IA 50316
Phone: 515-263-5612    
Hallie Runyan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 411 Laurel St Ste 3170, Des Moines, IA 50314
Phone: 515-283-0463    
Jennifer Marie Thomsen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Pleasant St, Des Moines, IA 50309
Phone: 515-241-6372    Fax: 515-401-1955
Robert Stanley Albin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 411 Laurel St, Suite 3170, Des Moines, IA 50314
Phone: 515-283-0463    Fax: 515-283-0794
Ms. Lindsey Kay Bruns,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 411 Laurel St, Des Moines, IA 50314
Phone: 515-283-0463    

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.