Individual provider Active NPI

Abigail Devereaux, PA-C

  • Physician Assistant
  • Fishkill, NY
National Provider Identifier
1437528619
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019057 Issued in NY
Practice address
969 Main St Ste D
Fishkill, NY 12524-1791
Phone
(845) 896-7730
Fax
(845) 896-7758
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019057 NY Primary

Addresses

Primary practice location

969 Main St Ste D
Fishkill, NY 12524-1791

Mailing address

969 Main St Ste D
Fishkill, NY 12524-1791
Phone (845) 896-7730

Other practice location 1

408 Market St
Nanuet, NY 10954-2744
Phone (845) 415-5575

Other practice location 2

55 Quaker Ave Ste 202
Cornwall, NY 12518-2026
Phone (845) 458-8188

Other practice location 3

29 Fox St Fl 4
Poughkeepsie, NY 12601-4732
Phone (845) 473-2350

Other practice location 4

155 White Plains Road, Suite 109 East Wing
Tarrytown, NY 10591-5563
Phone (914) 829-8200

Other practice location 5

40 Hurley Ave Ste 10
Kingston, NY 12401-3738
Phone (845) 338-3200

Other practice location 6

336 Route 202 Ste 2
Somers, NY 10589-3221
Phone (914) 617-8950

Other practice location 7

98 Green St Ste 4
Hudson, NY 12534-2353
Phone (518) 412-3300

Other names 1

  • Abigail Brenkach Former name

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
I20190211001975 NY Practitioner - Physician Assistant 7618215047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Dermatology, PCGroup PAC ID 8022021732, 40 clinicians

Practice addresses (Care Compare)

40 Hurley Ave
Suite 3
Kingston, NY 12401-3738
Phone (845) 338-3200

969 Main St
Suite D
Fishkill, NY 12524-1791
Phone (845) 896-7730

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
96.13
Promoting interoperability
100
Improvement activities
40
Cost
79.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1437528619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 MAIN ST STE D",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241791",
            "telephone_number": "845-896-7730",
            "fax_number": "845-896-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Market St",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542744",
            "country_code": "US",
            "telephone_number": "845-415-5575",
            "fax_number": "845-896-7758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Quaker Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cornwall",
            "state": "NY",
            "postal_code": "125182026",
            "country_code": "US",
            "telephone_number": "845-458-8188",
            "fax_number": "845-458-8122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Fox St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014732",
            "country_code": "US",
            "telephone_number": "845-473-2350",
            "fax_number": "845-473-4305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 White Plains Road, Suite 109 East Wing",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "105915563",
            "country_code": "US",
            "telephone_number": "914-829-8200",
            "fax_number": "914-829-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Hurley Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124013738",
            "country_code": "US",
            "telephone_number": "845-338-3200",
            "fax_number": "845-338-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Route 202 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Somers",
            "state": "NY",
            "postal_code": "105893221",
            "country_code": "US",
            "telephone_number": "914-617-8950",
            "fax_number": "914-617-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Green St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342353",
            "country_code": "US",
            "telephone_number": "518-412-3300",
            "fax_number": "518-412-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEREAUX",
        "first_name": "ABIGAIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "BRENKACH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.