IndividualActive
Amber Davenport, PA-C
NPI 1619227592 · Medical Physician Assistant · Portage, MI
Provider details
- NPI number
- 1619227592
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601006455 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
245 W Centre Ave
Portage, MI 49024-5331
Phone: (269) 323-2450
Approximate (ZIP-level) locationGet directions
Mailing address
825 N Center Avenue
Gaylord, MI 49735
Additional practice locations (1)
- 6565 W Main StKalamazoo, MI 49009-9199Phone: (269) 375-0400Fax: (269) 372-8478
Registry dates
- Enumerated
- 2012-09-18
- Last updated
- 2020-04-02
- Certified
- 2020-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.