LESLIE D. DAVENPORT (APRN) – Family Nurse Practitioner, NPI 1821408410

LESLIE D. DAVENPORT (APRN) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 89863 (OK). The NPI Number for LESLIE D. DAVENPORT (APRN) is 1821408410

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE D. DAVENPORT (APRN)
NPI
1821408410
Phone
(918) 772-2244
Address
1500 E DOWNING ST STE 214
Enumeration Date
5 May 2014
Last Update Date
4 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184310202
Graduation Year
2014 (12 years ago)
PAC ID
5799901112
Group Practice PAC ID
3678482635
Professional Enrollment ID
I20140721002024
Address ID
OK744643379TA1500XSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for LESLIE D. DAVENPORT (APRN)

  • 1500 E DOWNING ST STE 214

    TAHLEQUAH, OK 744643379

    Phone: (918) 772-2244

    Type: Location

  • PO BOX 751

    HULBERT, OK 744410751

    Phone: (918) 772-3390

    Fax: (918) 431-0203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $252.

Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($59).

Total Amount

$252

General + Research + Ownership

Payments

15

Total payment records

General Amount

$252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140721002024INurse PractitionerOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes350203$0
99213Established patient office or other outpatient visit, 20-29 minutes8174$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
99202New patient office or other outpatient visit, 15-29 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 74464)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678482635View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Family Practice, Internal MedicineOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerOK

Reviews

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Frequently asked questions

What is the registry number for LESLIE D. DAVENPORT (APRN)?
The registry entry for LESLIE D. DAVENPORT (APRN) shows NPI 1821408410.
Quick check: is LESLIE D. DAVENPORT (APRN) active?
Public NPPES data shows LESLIE D. DAVENPORT (APRN) with an active NPI status right now.
How should patients interpret LESLIE D. DAVENPORT (APRN)'s specialty?
The extract shows Family Nurse Practitioner for LESLIE D. DAVENPORT (APRN). Clinical services aligned with this taxonomy classification.
Is LESLIE D. DAVENPORT (APRN) tied to Tahlequah, Oklahoma?
If you are local to Tahlequah, Oklahoma, LESLIE D. DAVENPORT (APRN) may be relevant to your search.
Why is information missing for LESLIE D. DAVENPORT (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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