Colin Deane Davenport
NPI 1598545360ActiveIndividual· Nurse Practitioner· Indianapolis, IN
Nurse Practitioner with My Mobile MD Indiana LLC and 1 other group, practicing in Indianapolis, Indiana. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1598545360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 29, 2023 |
| Last updated in NPPES | Jul 20, 2026 |
| Certified by provider | Jul 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71016312A | IN |
| Family Medicine, Adult Medicine | 207QA0505X | 71016312A | IN |
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 - Nurse Practitioner (IN) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- My Mobile MD Indiana LLCIndianapolis, IN · 30 clinicians
- My Mobile MD LLCIndianapolis, IN · 25 clinicians
Other facilities
- Purposecare of IndianaHome health agency · Indianapolis, IN
- Select Home Health Services, IncHome health agency · Carmel, IN
- Corsocare Hospice of Indiana, LLCHospice · Carmel, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 508 nurse practitioners in Indianapolis · All nurse practitioners in Indiana