Amber Noel Davenport, PA-C
NPI 1619227592ActiveIndividual· Physician Assistant, Medical· Portage, MI
Physician Assistant, Medical (PA-C) with Theoria Medical and 2 other groups, practicing in Portage, Michigan. 24 Medicare patients in 2024, $1,725 paid; nearly all of their 78 Part D prescriptions were generic (92%).
Overview
| NPI | 1619227592 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 18, 2012 |
| Last updated in NPPES | Apr 2, 2020 |
| Certified by provider | Apr 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 5601006455 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 24 |
|---|---|
| Services billed | 47 across 20 procedure codes |
| Paid by Medicare | $1,725 |
Part D prescriptions in 2024
| Prescriptions (claims) | 78 · 79 30-day fills |
|---|---|
| Patients | 56 |
| Total drug cost | $1,025 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Theoria MedicalEast Moline, IL · 284 clinicians
- Pic Indiana PCBattle Creek, MI · 140 clinicians
- Complexcare Medical Group Midwest M PLLCJonesboro, GA · 95 clinicians
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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