Individual provider Active NPI

Theresa C McDevitt, CNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Edina, MN
National Provider Identifier
1093397085
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
8518 Issued in MN
Practice address
3400 W 66TH St Ste 385
Edina, MN 55435-2197
Phone
(952) 927-6561
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN.0998242-NP CO
Women's Health Nurse Practitioner 363LW0102X 8518 MN Primary
Registered Nurse 163W00000X 2086909 MN
Nurse Practitioner 363L00000X APN.0998242-NP CO

Addresses

Primary practice location

3400 W 66TH St Ste 385
Edina, MN 55435-2197

Mailing address

3400 W 66TH St Ste 385
Edina, MN 55435-2197
Phone (952) 927-6561

Other practice location 1

2635 University Ave W Ste 100
Saint Paul, MN 55114-1231
Phone (612) 435-8700

Other practice location 2

80 Health Park Dr Ste 270
Louisville, CO 80027-4644
Phone (303) 649-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230411000160 CO Practitioner - Nurse Practitioner 6709283013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

90 Health Park Dr
Suite 260
Louisville, CO 80027-4521
Phone (303) 649-3180

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8518MNMDClinical Social Worker
2086909MNMDRegistered Nurse
APN.0998242-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince May 1, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince May 1, 2023 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

611 Mitchell Way
Ste 103
Erie, CO 80516
Phone (303) 269-2780

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

80 Health Park Dr
Ste 270
Louisville, CO 80027
Phone (303) 269-2085

90 Health Park Dr
Ste 260
Louisville, CO 80027
Phone (303) 649-3180

7233 Church Ranch Blvd
Westminster, CO 80021
Phone (303) 925-4137

Interoperability endpoints

  • Direct secure messaging: tmcdevitt2472864@adventhealth.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1093397085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST STE 385",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352197",
            "telephone_number": "952-927-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST STE 385",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352197",
            "telephone_number": "952-927-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 University Ave W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141231",
            "country_code": "US",
            "telephone_number": "612-435-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Health Park Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800274644",
            "country_code": "US",
            "telephone_number": "303-649-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "THERESA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "CNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0998242-NP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "8518",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2086909",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0998242-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.