Stephanie Anne Davenport, PAC
NPI 1003862186ActiveIndividual· Physician Assistant· Troy, MI
Physician Assistant (PAC) with Beaumont Medical Group Hospital Based Services, practicing in Troy, Michigan. Medicare paid $7,079 for services to 61 patients in 2024. Lists Beaumont Hospital, Troy as a hospital affiliation.
Overview
| NPI | 1003862186 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | Yes |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Jul 15, 2022 |
| Certified by provider | Jul 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 81 across 6 procedure codes |
| Paid by Medicare | $7,079 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Beaumont Medical Group Hospital Based ServicesRoyal Oak, MI · 584 clinicians
Hospital affiliation
- Beaumont Hospital, TroyTroy, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Troy
- 1174242655
- 1457245730
- 1720672736
- 1780950329
- 1376266767
- 1134851777
- 1558706077
- 1053226316
- 1669751905
- 1043948821
- 1750752481
- 1457602914