Individual provider Active NPI

Elizabeth Devereux, FNP-BC

  • Family Nurse Practitioner
  • Rensselaer, NY
National Provider Identifier
1518360635
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339203 Issued in NY
Practice address
279 Troy Road
Family Medical Group
Rensselaer, NY 12144-9756
Phone
(518) 286-1922
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339203 NY Primary

Addresses

Primary practice location

279 Troy Road
Family Medical Group
Rensselaer, NY 12144-9756

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

2 Empire Dr Ste 100
Rensselaer, NY 12144-5730
Phone (518) 286-4899

Other practice location 2

1301 River St Ste 204
Valatie, NY 12184-9696
Phone (518) 392-8600

Other practice location 3

53 Columbia St
Rensselaer, NY 12144-2933
Phone (518) 434-2526

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20141223000137 NY Practitioner - Nurse Practitioner 1254654304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Empire Dr
Suite 100
Rensselaer, NY 12144-5730
Phone (518) 286-4899

53 Columbia St
Rensselaer, NY 12144-2933
Phone (518) 434-2526

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339203NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Nurse Practitioner CurrentSince Oct 5, 2015 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Nurse Practitioner CurrentSince Aug 24, 2022 Accepting new patients

Locations

2 Empire Dr
Ste 100
Rensselaer, NY 12144
Phone (518) 286-4899

279 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1922

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Interoperability endpoints

  • Direct secure messaging: edevereux789268@direct.trinity-health.org

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 2

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1518360635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 TROY ROAD",
            "address_2": "FAMILY MEDICAL GROUP",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449756",
            "telephone_number": "518-286-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Empire Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-286-4899",
            "fax_number": "518-286-4859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 River St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Valatie",
            "state": "NY",
            "postal_code": "121849696",
            "country_code": "US",
            "telephone_number": "518-392-8600",
            "fax_number": "518-392-8601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121442933",
            "country_code": "US",
            "telephone_number": "518-434-2526",
            "fax_number": "518-434-2595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEREUX",
        "first_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "279 Troy Road",
            "address_2": "Family Medical Group",
            "city": "Rensselaer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121449756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.