Individual provider Active NPI

Michelle Lynne Devoll, AGACNP

  • Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1023520327
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP021941 Issued in OH
Practice address
3620 Court Dr
Zanesville, OH 43701-6456
Phone
(740) 454-5000
NPI assigned
Oct 27, 2017
Last updated
Oct 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP021941 OH Primary

Addresses

Primary practice location

3620 Court Dr
Zanesville, OH 43701-6456

Mailing address

PO Box 1821
Zanesville, OH 43702-1821
Phone (740) 455-3304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171122002220 OH Practitioner - Nurse Practitioner 8022375294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group of Southeastern Ohio IncGroup PAC ID 8628232469, 61 clinicians

Practice addresses (Care Compare)

3620 Court Dr
Suite K
Zanesville, OH 43701-6455
Phone (740) 454-1248

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP021941OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group of Southeastern Ohio Inc CurrentSince Jan 8, 2024 Accepting new patients
Medical Home Primary Care Center CurrentSince Oct 27, 2017 Accepting new patients
Thomas P Forrestal Jr Past Accepting new patients

Locations

3620 Court Dr
Zanesville, OH 43701
Phone (740) 453-7555

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1023520327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1821",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437021821",
            "telephone_number": "740-455-3304",
            "fax_number": "740-455-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 COURT DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016456",
            "telephone_number": "740-454-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOLL",
        "first_name": "MICHELLE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "CNP021941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.