Individual provider Active NPI

Meaghan Susanne Devens, FNP

  • Family Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1194566331
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001289826 Issued in VA
Practice address
1540 Breezeport Way Ste 100
Suffolk, VA 23435-3752
Phone
(757) 538-7275
Fax
(757) 335-7230
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 0001289826 VA Primary

Addresses

Primary practice location

1540 Breezeport Way Ste 100
Suffolk, VA 23435-3752

Mailing address

860 Omni Blvd Ste 8
Newport News, VA 23606-4434
Phone (757) 232-8860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20241007003314 VA Practitioner - Nurse Practitioner 7315478906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

1540 Breezeport Way
Suite 100
Suffolk, VA 23435-3752
Phone (757) 538-7275

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 1, 2024 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 1, 2024 Accepting new patients

Locations

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 8
Newport News, VA 23606
Phone (804) 843-3131

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

860 Omni Blvd
Ste 401
Newport News, VA 23606
Phone (757) 232-8764

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

1540 Breezeport Way
Ste 100
Suffolk, VA 23435
Phone (757) 538-7275

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1194566331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 8",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064434",
            "telephone_number": "757-232-8860",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 BREEZEPORT WAY STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353752",
            "telephone_number": "757-538-7275",
            "fax_number": "757-335-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENS",
        "first_name": "MEAGHAN",
        "middle_name": "SUSANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001289826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.