Individual provider Active NPI

Stephanie Ann Devault, CNP

  • Adult Health Nurse Practitioner
  • Massillon, OH
National Provider Identifier
1265848535
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA16180-NP Issued in OH
Practice address
323 Marion Ave NW
Massillon, OH 44646-3639
Phone
(330) 837-1111
Fax
(330) 837-6118
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA16180-NP OH Primary

Addresses

Primary practice location

323 Marion Ave NW
Massillon, OH 44646-3639

Mailing address

323 Marion Ave NW
Massillon, OH 44646-3639
Phone (330) 837-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20141029001371 OH Practitioner - Nurse Practitioner 1658592969 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Cleveland Medical CenterGroup PAC ID 3274431879, 123 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-8447

659 Boulevard St
Dover, OH 44622-2026
Phone (330) 364-3311

Hospital & facility affiliations

  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA16180-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group CurrentSince Oct 1, 2023 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Jun 17, 2024 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Jun 17, 2024 Accepting new patients
Partners Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Union Physician Services, LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

11100 Euclid Ave
Cleveland Heights, OH 44106

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

110 Dublin Dr
Dover, OH 44622
Phone (330) 343-0753

323 Marion Ave NW
Massillon, OH 44646
Phone (330) 493-3313

323 Marion Ave NW
Ste 200
Massillon, OH 44646
Phone (330) 837-1111

Interoperability endpoints

  • Direct secure messaging: sdevault1247855@direct.ccf.org
  • Direct secure messaging: sdevault571460@ehrdirect.uhhospitals.org

Organizations & group practices 8

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 6

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1265848535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MARION AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463639",
            "telephone_number": "330-837-1111",
            "fax_number": "330-837-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463639",
            "telephone_number": "330-837-1111",
            "fax_number": "330-837-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAULT",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA16180-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.