Individual provider Active NPI

Kerin McCarthy Devlin, FNP

  • Family Nurse Practitioner
  • Whitehall, NY
National Provider Identifier
1306837745
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331060 Issued in NY
Practice address
65 Poultney St
Whitehall Family Medicine
Whitehall, NY 12887
Phone
(518) 499-2444
Fax
(518) 499-0317
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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 F331060 NY Primary

Addresses

Primary practice location

65 Poultney St
Whitehall Family Medicine
Whitehall, NY 12887

Mailing address

100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801
Phone (518) 926-5924

Other identifiers 2

IdentifierTypeStateIssuer
02251756MedicaidNY
P00092388OtherNYRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kerin.devlin@cdirectglensfallshosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100219000319 NY Practitioner - Nurse Practitioner 5991849549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F331060NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc. CurrentSince May 1, 1999 Accepting new patients
Glens Falls Hospital Inc CurrentSince May 1, 1999 Accepting new patients

Locations

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

65 Poultney St
Whitehall, NY 12887
Phone (518) 499-2444

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1306837745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 POULTNEY ST",
            "address_2": "WHITEHALL FAMILY MEDICINE",
            "city": "WHITEHALL",
            "state": "NY",
            "postal_code": "12887",
            "telephone_number": "518-499-2444",
            "fax_number": "518-499-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "KERIN",
        "middle_name": "MCCARTHY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02251756",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00092388",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kerin.devlin@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "65 Poultney St",
            "address_2": "Whitehall Family Medicine",
            "city": "Whitehall",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitehall, NY

Sources for this page

Verify at the official NPI Registry.