Mary Elizabeth Devries, APRN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209017121 Issued in IL

Practice address

604 N Broad St
Carlinville, IL 62626-1021

Phone

(217) 854-9411

Fax

(217) 854-2858

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carlinville Medical Clinic IncGroup PAC ID 7719933928, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health of Southern Illinois Home health agency, Glen Carbon, IL, CCN 147039
• HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
• Carlinville Area Hospital Hospital, Carlinville, IL, CCN 141347
• St Francis Hospital Hospital, Litchfield, IL, CCN 141350
• Memorial Medical Center Hospital, Springfield, IL, CCN 140148

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Carlinville Medical Clinic, Inc.

  • Rural Health Clinic/Center
  • Carlinville, IL
  • NPI 1730213026

  Family

  Medicare reassignment Care Compare group NPD
• Carlinville Medical Clinic, Inc.

  • Internal Medicine Physician
  • Carlinville, IL
  • NPI 1518285295
  NPD

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

• Carlinville Area Hospital Association

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124
  Care Compare affiliation
• Memorial Medical Center

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1255317590
  Care Compare affiliation
• Residential Home Health of Southern Illinois, LLC

  • Home Health Agency
  • Glen Carbon, IL
  • NPI 1811314495
  Care Compare affiliation
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  • Home Health Agency
  • Effingham, IL
  • NPI 1891758678
  Care Compare affiliation
• St Francis Hospital of the Hospital Sisters of the Third Order of St F

  • Critical Access Hospital
  • Litchfield, IL
  • NPI 1326057076
  Care Compare affiliation

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1457869232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261021",
            "telephone_number": "217-854-9411",
            "fax_number": "217-854-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261021",
            "telephone_number": "217-854-9411",
            "fax_number": "217-854-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "APRN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "041336300",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makinze DC Cox
• Lourdes M Cruz, MD
• Hannah Marie Davidson, LCPC
• Peter Gordon Denby, DDS
• Parth Desai
• Carrie Downs, PT
• Kristina Kay Duckels
• Michelle Renee Dyer, R.PH
• Youssef El Bitar, M.D.
• Natalie Elliott

• Family Nurse Practitioner in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.