Colin Deane Davenport

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71016312A Issued in IN

Practice address

429 E Vermont St Ste 110
Indianapolis, IN 46202-3685

Phone

(317) 559-0950

Fax

(317) 936-3028

NPI assigned

Sep 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians

My Mobile MD Indiana LLCGroup PAC ID 9830607605, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Select Home Health Services, Inc Home health agency, Carmel, IN, CCN 157635
• Purposecare of Indiana Home health agency, Indianapolis, IN, CCN 157252
• Corsocare Hospice of Indiana, LLC Hospice, Carmel, IN, CCN 151660

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• My Mobile MD Indiana LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1912898321

  IN

  Medicare reassignment Care Compare group NPD
• My Mobile MD LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225495716

  IN

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alliance Home Health Services LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1043293814
  Care Compare affiliation
• Corsocare Hospice of Indiana LLC

  • Community Based Hospice Care Agency
  • Carmel, IN
  • NPI 1609647759

  Hospice

  Care Compare affiliation
• Select Home Health Services, LLC

  • Home Health Agency
  • Carmel, IN
  • NPI 1689979965
  Care Compare affiliation

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1598545360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431190586",
            "telephone_number": "317-559-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023685",
            "telephone_number": "317-559-0950",
            "fax_number": "317-936-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "COLIN",
        "middle_name": "DEANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-29",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IN",
            "license": "71016312A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016312A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shashank Dave, D.O.
• Utpal P Dave, MD
• William Davee
• Jennifer T Davel, M.D.
• Agnes E Davenport, NP
• Sylvia Davenport
• Anthony Francis Davey, NP
• Chelsea Elise Davey, LCSW
• Matthew Davey, OTR
• David B. Ensley, MD, PC

• All providers in Indianapolis, IN
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.