NPIMap

Individual provider Active NPI

Ricky James Deville II, CRNA

  • Certified Registered Nurse Anesthetist
  • Branson, MO
National Provider Identifier
1457692857
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2012037900 Issued in MO
Practice address
525 Branson Landing Blvd
Branson, MO 65616
Phone
(660) 747-2500
NPI assigned
Mar 9, 2013
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28242075A IN
Certified Registered Nurse Anesthetist 367500000X 2012037900 MO Primary

Addresses

Primary practice location

525 Branson Landing Blvd
Branson, MO 65616

Mailing address

PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3000

Other identifiers 1

IdentifierTypeStateIssuer
910003914MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130924000163 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719121284 Reassigns benefits to 5 organizations
I20180315000990 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719121284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Missouri HB Medical Services LLCGroup PAC ID 2668813197, 77 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 553-6059

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-9290

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as group
Quality
96.63
Promoting interoperability
100
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28242075AINMDCertified Registered Nurse Anesthetist
2012037900MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 18, 2025 Accepting new patients
Cox-Monett Hospital, Inc. Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 18, 2025 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Beacon Medical Group Inc CurrentSince Mar 24, 2025 Accepting new patients
Deaconess Hospital Inc CurrentSince Mar 12, 2018 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 12, 2018 Accepting new patients
Missouri HB Medical Services, LLC CurrentSince May 23, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 18, 2025 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (269) 552-2823

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1457692857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRANSON LANDING BLVD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "660-747-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVILLE",
        "first_name": "RICKY",
        "middle_name": "JAMES",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-09",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28242075A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2012037900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910003914",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.