Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amber Noel Davenport, PA-C

Individual provider Medical Physician Assistant · NPI 1619227592

Amber Noel Davenport, PA-C is a Physician Assistant in Portage, Michigan. Qualified in 2012, 14 years ago. Practices with Pic Indiana PC, a 148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

245 W Centre Ave
Portage, MI 49024-5331
Phone: (269) 323-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6565 W Main St, Kalamazoo, MI 49009-9199 — (269) 375-0400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601006455 (MI)

Record details

NPI number1619227592
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2012
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pic Indiana Pc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Portage