Individual provider Active NPI

Devan Stevens, MS OTR, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1033546536
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
901 Rancho LN Ste 135
Las Vegas, NV 89106-3826
Phone
(702) 383-1958
Fax
(702) 383-8235
NPI assigned
Sep 30, 2013
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Physical Rehabilitation Occupational Therapist 225XP0019X 225XP0019X NV

Addresses

Primary practice location

901 Rancho LN Ste 135
Las Vegas, NV 89106-3826

Mailing address

1620 Stirrup Dr
Henderson, NV 89002-8824
Phone (702) 578-6271

Other practice location 1

1000 American Pacific Dr
apt 2422
Henderson, NV 89074-8790
Phone (702) 578-6271

Other practice location 2

343 River Oaks Dr
Milford, MI 48381-1037
Phone (248) 717-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180308000453 NV Practitioner - Physician Assistant 4082975040 Reassigns benefits to 1 organization
I20230822002222 MI Practitioner - Physician Assistant 4082975040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resilience Mental Health and WellnessGroup PAC ID 7517329600, 2 clinicians

Practice addresses (Care Compare)

3890 Charlevoix Rd
Suite 185
Petoskey, MI 49770-9719
Phone (231) 239-6101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
225XP0019XNVMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Healthcare LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1033546536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 STIRRUP DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890028824",
            "telephone_number": "702-578-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RANCHO LN STE 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063826",
            "telephone_number": "702-383-1958",
            "fax_number": "702-383-8235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 American Pacific Dr",
            "address_2": "apt 2422",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890748790",
            "country_code": "US",
            "telephone_number": "702-578-6271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "343 River Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MI",
            "postal_code": "483811037",
            "country_code": "US",
            "telephone_number": "248-717-1232",
            "fax_number": "248-717-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DEVAN",
        "credential": "MS OTR, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NV",
            "license": "225XP0019X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.