Individual provider Active NPI

Emily Ann Larson Devine

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1235888983
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
W0558 Issued in TX
Practice address
3800 N Tarrant Pkwy Ste 210
Fort Worth, TX 76244-5416
Phone
(682) 593-6660
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X W0558 TX Primary

Addresses

Primary practice location

3800 N Tarrant Pkwy Ste 210
Fort Worth, TX 76244-5416

Mailing address

3800 N Tarrant Pkwy Ste 210
Fort Worth, TX 76244-5416
Phone (682) 593-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930001118 TX Practitioner - Internal Medicine 1658758131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Be Well Primary Care Medicine PLLCGroup PAC ID 7517225675, 8 clinicians

Practice addresses (Care Compare)

3800 N Tarrant Pkwy
Suite 210
Fort Worth, TX 76244-5416
Phone (682) 593-6660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
W0558TXMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: emily.devine@hca7.eclinicaldirectplus.com

Organizations & group practices 1

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1235888983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N TARRANT PKWY STE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445416",
            "telephone_number": "682-593-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N TARRANT PKWY STE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445416",
            "telephone_number": "682-593-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "EMILY",
        "middle_name": "ANN LARSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W0558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.