HYRUM DAVENPORT (NP) – Nurse Practitioner, NPI 1255567210
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for HYRUM DAVENPORT (NP)
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 832022376
Phone: (208) 252-5621
Fax: (208) 648-4167
Type: Location
1441, Parkway Drive, Blackfoot, Bingham County, Idaho, 83221, United States
BLACKFOOT, ID 832211667
Phone: (208) 785-2600
Type: Mailing
PO BOX 2516
POCATELLO, ID 832062516
Phone: (208) 252-5621
Fax: (208) 648-4167
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 211 Open Payments records for all available years, with a total value of $3,776.
Total Amount is formed as General ($3,776) + Research ($0) + Ownership ($0) = $3,776.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($754).
Total Amount
$3,776
General + Research + Ownership
Payments
211
Total payment records
General Amount
$3,776
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $754 |
| Otsuka America Pharmaceutical, Inc. | $396 |
| ITI, Inc. | $316 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $296 |
| Janssen Pharmaceuticals, Inc | $291 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090717000227 | I | Nurse Practitioner | ID | TBD |
| I20230206000957 | I | Nurse Practitioner | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 108 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 83202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Mental Health Counselor | UT | |
| Nurse Practitioner | ID | |
| Marriage And Family Therapist | CO | |
| Physician Assistant | ID | |
| Marriage And Family Therapist | ID | |
| Nurse Practitioner | ID | |
| P S Y C H I A T R Y | UT | |
| Nurse Practitioner | ID |
Reviews
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