Individual provider Active NPI

Kori Nicole Devoll, RN, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1417397704
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.14852-NP Issued in OH
Practice address
3400 Olentangy River Rd
Columbus, OH 43202-1576
Phone
(614) 754-5500
Fax
(614) 754-5501
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 321399 OH
Family Nurse Practitioner 363LF0000X COA.14852-NP OH Primary

Addresses

Primary practice location

3400 Olentangy River Rd
Columbus, OH 43202-1576

Mailing address

3400 Olentangy River Rd
Columbus, OH 43202-1576
Phone (614) 754-5500

Other practice location 1

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 357-1468

Other identifiers 1

IdentifierTypeStateIssuer
0088238MedicaidOH

Other names 1

  • Kori Nicole Schumacher Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ohio.gastro@directaddress.net Direct
Direct Messaging Address kdevoll39659@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20130814000173 OH Practitioner - Nurse Practitioner 1052553492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Gastroenterology Group, Inc.Group PAC ID 0143211284, 118 clinicians

Practice addresses (Care Compare)

3400 Olentangy River Rd
Columbus, OH 43202-1576
Phone (614) 754-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.34 of 100Reported as group
Quality
59.66
Promoting interoperability
99
Improvement activities
40
Cost
68.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321399OHMDRegistered Nurse
COA.14852-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 21, 2023 Accepting new patients
Ohio Gastroenterology Group, Inc. CurrentSince Aug 5, 2013 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 21, 2023 Accepting new patients

Locations

L3977
Columbus, OH 43260

85 McNaughten Rd
Ste 320
Columbus, OH 43213
Phone 61475455005545

Dept L3652
Columbus, OH 43260

3400 Olentangy River Rd
Columbus, OH 43202
Phone (614) 754-5545

3820 Olentangy River Rd
Columbus, OH 43214
Phone (614) 457-1213

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

Organizations & group practices 3

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1417397704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021576",
            "telephone_number": "614-754-5500",
            "fax_number": "614-457-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021576",
            "telephone_number": "614-754-5500",
            "fax_number": "614-754-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281607",
            "country_code": "US",
            "telephone_number": "614-357-1468",
            "fax_number": "614-533-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVOLL",
        "first_name": "KORI",
        "middle_name": "NICOLE",
        "credential": "RN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "321399",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14852-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088238",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohio.gastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3400 Olentangy River Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432021576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdevoll39659@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "5100 W Broad St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432281607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KORI",
            "last_name": "SCHUMACHER",
            "middle_name": "NICOLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.