Devin Fancher
Individual provider Active NPI Family Nurse Practitioner · Red Bay, AL
NPI 1588046155 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1588046155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-177157 (AL)
- Practice address
- 221 Hospital Rd
Red Bay, AL 35582-3858 - Phone
- (256) 376-2032
- Fax
- (256) 376-2055
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
221 Hospital Rd
Red Bay, AL 35582-3858
Phone (256) 376-2032
Hospital & facility affiliations
- North Mississippi Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MS, AL, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150831002137 | MS | Practitioner - Nurse Practitioner | 1052627445 | Reassigns benefits to 1 organization |
| I20240613000604 | AL | Practitioner - Nurse Practitioner | 1052627445 | Reassigns benefits to 2 organizations |
| I20250910000442 | TX | Practitioner - Nurse Practitioner | 1052627445 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R891550 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients | |
| Dr. James Nabers DO PC | Current |
Accepting new patients | |
| Luxe Aesthetics & Wellness, LLC | Current |
Accepting new patients |
Locations
219 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-9537
221 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8907
460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-177157 | AL | Yes |
| Family Nurse Practitioner | 363LF0000X | R891550 | MS |
Addresses
Primary practice location
221 Hospital Rd
Red Bay, AL 35582-3858
Mailing address
221 Hospital Rd
Red Bay, AL 35582-3858
Phone (256) 376-2032
Other providers in Red Bay, AL
- Kristy Lynn Crandell
- Stacy Credille
- Dr. James Nabers DO PC
- Raynard G. Fabianke
- Family Health Care Clinic, Inc.
- Isabella Grace Fowler
- Generations of Red Bay, LLC
- Kaitlin Paige Gresham
- Gum Creek Enterprises Inc
- HH Health System - Shoals LLC
All providers in Red Bay, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.