Individual provider Active NPI

Erin Kathryn Devanney, FNP-C

  • Family Nurse Practitioner
  • Nags Head, NC
National Provider Identifier
1154882165
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016076 Issued in NC
Practice address
4711 S Croatan Hwy Ste 6B
Nags Head, NC 27959-8997
Phone
(252) 441-0515
Fax
(252) 441-0531
NPI assigned
Mar 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016076 NC Primary

Addresses

Primary practice location

4711 S Croatan Hwy Ste 6B
Nags Head, NC 27959-8997

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Erin.Devanney@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NC2 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
I20190826000073 CT Practitioner - Nurse Practitioner 9335477652
I20220621001161 NC Practitioner - Nurse Practitioner 9335477652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

4711 S Croatan Hwy
Suite 6B
Nags Head, NC 27959-8997
Phone (252) 331-5869

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Apr 15, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Apr 15, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

2613 Hospital Rd
Goldsboro, NC 27534
Phone (919) 736-0222

5589 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 715-0610

4711 S Croatan Hwy
Ste 6B
Nags Head, NC 27959
Phone (252) 331-5869

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: erin.devanney@forefrontdermatology.emadirect.md

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1154882165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 S CROATAN HWY STE 6B",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598997",
            "telephone_number": "252-441-0515",
            "fax_number": "252-441-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANNEY",
        "first_name": "ERIN",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Erin.Devanney@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4711 S Croatan Hwy Ste 6B",
            "city": "Nags Head",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279598997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

Verify at the official NPI Registry.