Rebecca Devine, DNP, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Leon, IA
NPI 1376926535 · NPPES record last updated Mar 30, 2016
Key facts
- NPI
- 1376926535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- G120399 (IA)
- Practice address
- 302 NE 14TH St
Leon, IA 50144-1206 - Phone
- (641) 446-2383
- Fax
- (515) 777-1295
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ringgold County Hospital
Practice addresses (Care Compare)
504 N Cleveland St
Mount Ayr, IA 50854-2201
Phone (641) 464-3226
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222002371 | IA | Practitioner - Nurse Practitioner | 1658672332 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ringgold County Hospital | Current |
Accepting new patients | |
| Ringgold County Hospital | Current | Accepting new patients | |
| Ringgold County Hospital | Current | Accepting new patients | |
| Ringgold County Hospital | Current |
Accepting new patients | |
| Eastern Iowa Health Center | Past | Accepting new patients |
Locations
504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G120399 | IA | Yes |
Addresses
Primary practice location
302 NE 14TH St
Leon, IA 50144-1206
Mailing address
302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383
Other providers in Leon, IA
- Decatur County Hospital
- Decatur County Hospital
- Decatur County Hospital
- Decatur County Hospital
- Decatur Medical Services, PC
- Adam Dosch
- Jena Rae Ellerhoff
- Wendy Jeane Finch-Levis
- Alli Marie Frain
- Susanna Funk
All providers in Leon, IA · Psychiatric/Mental Health Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.