Devon Nicole Updegraff, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4219 Issued in AZ

Practice address

13000 N 103Rd Ave
Suite 60
Sun City, AZ 85351-3024

Phone

(623) 933-3107

Fax

(623) 972-1418

NPI assigned

Sep 22, 2008

Last updated

Feb 16, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Updegraff Clinic for Allergy and Dermatology PCGroup PAC ID 8123180841, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.22 of 100Reported as group

Quality

90.04

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Updegraff Clinic for Allergy & Dermatology PC

  • Medical Specialty Clinic/Center
  • Sun City, AZ
  • NPI 1073767240
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1528218930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "SUITE 60",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-933-3107",
            "fax_number": "623-972-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE",
            "address_2": "SUITE 60",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513024",
            "telephone_number": "623-933-3107",
            "fax_number": "623-972-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDEGRAFF",
        "first_name": "DEVON",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unique Care Medical LLC
• United Respiratory Services, LLC (Valley Respiratory Services)
• Unity Healthcare Services LLC
• Updegraff Clinic for Allergy & Dermatology PC
• Bryan Robert Updegraff, MD
• Upendra C Patel MD PLLC
• Baljeet S Uppal, MD
• Rafael Thomas Urcis, M.D.
• Nancy Urias
• V J Aulakh MD PLLC

• Physician Assistant in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.