Individual provider Active NPI

Devonne Annette Ortiz, FNP

  • Family Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1376846527
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20375 Issued in CA
Practice address
8220 Wymark Dr Ste 200
Elk Grove, CA 95757-6298
Phone
(916) 667-0600
Fax
(916) 683-0232
NPI assigned
Dec 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 20375 CA Primary

Addresses

Primary practice location

8220 Wymark Dr Ste 200
Elk Grove, CA 95757-6298

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110816000444 CA Practitioner - Nurse Practitioner 9931378585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

8220 Wymark Dr
Suite 200
Elk Grove, CA 95757-6298
Phone (916) 667-0600

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20375CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Sac City MD CurrentSince Oct 1, 2022 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 10, 2024 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 10, 2024 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

8220 Wymark Dr
Ste 200
Elk Grove, CA 95757
Phone (916) 667-0600

8259 Laguna Blvd
Ste 100
Elk Grove, CA 95758
Phone (916) 691-8570

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

8120 Timberlake Way
Ste 108
Sacramento, CA 95823
Phone (916) 252-5000

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

Organizations & group practices 4

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": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1376846527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WYMARK DR STE 200",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576298",
            "telephone_number": "916-667-0600",
            "fax_number": "916-683-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "DEVONNE",
        "middle_name": "ANNETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.