Individual provider Active NPI

Jean Barrett Devaney, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1285009894
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024173115 Issued in VA
Practice address
36 Ricketts Dr
Winchester, VA 22601-3676
Phone
(540) 535-1112
Fax
(540) 535-1155
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024173115 VA Primary

Addresses

Primary practice location

36 Ricketts Dr
Winchester, VA 22601-3676

Mailing address

36 Ricketts Dr
Winchester, VA 22601-3676
Phone (540) 535-1112

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
I20170608001014 VA Practitioner - Nurse Practitioner 5890063259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winchester Community Mental Health Center, Inc.Group PAC ID 9032249214, 13 clinicians

Practice addresses (Care Compare)

105 Stony Pointe Way
Suite 210
Strasburg, VA 22657-2672
Phone (540) 535-1112

20 Ricketts Dr B
Winchester, VA 22601-3676

36 Ricketts Dr
Winchester, VA 22601-3676
Phone (540) 535-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024173115VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Community Mental Health Center, Inc. Psychiatric/Mental Health CurrentSince Mar 23, 2017 Accepting new patients

Locations

105 Stony Pointe Way
Ste 210
Strasburg, VA 22657
Phone (540) 465-9606

36 Ricketts Dr
Winchester, VA 22601
Phone (540) 535-1112

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": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1285009894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RICKETTS DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013676",
            "telephone_number": "540-535-1112",
            "fax_number": "540-535-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RICKETTS DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013676",
            "telephone_number": "540-535-1112",
            "fax_number": "540-535-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANEY",
        "first_name": "JEAN",
        "middle_name": "BARRETT",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024173115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.