Individual provider Active NPI

Yvonne K Davenport, M.D.

  • Obstetrics & Gynecology Physician
  • Lincoln, NE
National Provider Identifier
1104901735
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16273 Issued in NE
Practice address
9110 Andermatt Dr Ste 2
Lincoln, NE 68526-6701
Phone
(402) 483-7641
Fax
(402) 483-0527
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16273 NE Primary

Addresses

Primary practice location

9110 Andermatt Dr Ste 2
Lincoln, NE 68526-6701

Mailing address

9110 Andermatt Dr Ste 2
Lincoln, NE 68526-6701
Phone (402) 483-7641

Other identifiers 1

IdentifierTypeStateIssuer
47-0546525-12MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000435 NE Practitioner - Obstetrics/Gynecology 9032139993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln OB-GYN P.C.Group PAC ID 7315967270, 8 clinicians

Practice addresses (Care Compare)

9110 Andermatt Dr
Suite 2
Lincoln, NE 68526-9769
Phone (402) 483-7641

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16273NEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln OB-GYN P.C. Obstetrics & Gynecology CurrentSince Apr 30, 2003 Accepting new patients

Locations

5100 N 26th St
Ste 200
Lincoln, NE 68521
Phone (402) 483-7641

9110 Andermatt Dr
Ste 2
Lincoln, NE 68526
Phone (402) 483-7641

Interoperability endpoints

  • Direct secure messaging: yvonne.davenport@lincolnobgyn.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1104901735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 ANDERMATT DR STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266701",
            "telephone_number": "402-483-7641",
            "fax_number": "402-483-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 ANDERMATT DR STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266701",
            "telephone_number": "402-483-7641",
            "fax_number": "402-483-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "YVONNE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "16273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-0546525-12",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.