Hyrum Davenport, NP - Medicare Nurse Practitioner in Chubbuck, ID

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Hyrum Davenport, NP is a medicare enrolled "Nurse Practitioner" in Chubbuck, Idaho. He graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Canvi Behavioral Health Pllc, Canvi Behavioral Health Pllc and his current practice location is 4650 Hawthorne Rd Ste 3b, Chubbuck, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 252-5621.

Hyrum Davenport is licensed to practice in Idaho (license number NP-913A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255567210.

Contact Information

Hyrum Davenport, NP
4650 Hawthorne Rd Ste 3b,
Chubbuck, ID 83202-2376
(208) 252-5621
(208) 648-4167

Map and Direction




Provider's Profile

Full NameHyrum Davenport
GenderMale
SpecialityNurse Practitioner
Experience18 Years
Location4650 Hawthorne Rd Ste 3b, Chubbuck, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hyrum Davenport graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1255567210
  • Provider Enumeration Date: 06/04/2009
  • Last Update Date: 09/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4789736083
  • Enrollment ID: I20090717000227

Medical Identifiers

Medical identifiers for Hyrum Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255567210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP-913A (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canvi Behavioral Health Pllc09416920739
Canvi Behavioral Health Pllc09416920739

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hyrum Davenport allows following entities to bill medicare on his behalf.
Entity NameMvh Bmc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649699174
PECOS PAC ID: 2961791991
Enrollment ID: O20160608002399
Entity NameCanvi Behavioral Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144984873
PECOS PAC ID: 0941692073
Enrollment ID: O20220121000627

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hyrum Davenport is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hyrum Davenport, NP
Po Box 2516,
Pocatello, ID 83206-2516

Ph: (208) 252-5621		Hyrum Davenport, NP
4650 Hawthorne Rd Ste 3b,
Chubbuck, ID 83202-2376

Ph: (208) 252-5621

Reviews and Comments


Nurse Practitioner Nurses in Chubbuck, ID

Justin Gregory Merzlock, FNP
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Practice Location: 4511 Zebe Ave, Chubbuck, ID 83202
Phone: 208-904-4780    Fax: 208-904-4832
Dr. Scott Robert Barlow, DNP
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Medicare: Accepting Medicare Assignments
Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202
Phone: 208-233-9898    Fax: 208-232-8566
Patricia Stadler, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 570 Redman St, Chubbuck, ID 83202
Phone: 602-703-4196    
Heidi Winder, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202
Phone: 208-233-9898    Fax: 208-232-8566
Margo Northrup,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202
Phone: 208-252-5621    Fax: 208-648-4167
Brandon Smith, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5067 Camden St, Chubbuck, ID 83202
Phone: 208-840-0044    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.