Elizabeth A. Devine, APRN
Individual provider Active NPI Nurse Practitioner · Ainsworth, NE
NPI 1609122175 · NPPES record last updated Dec 13, 2021
Key facts
- NPI
- 1609122175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 111402 (NE)
- Practice address
- 843 E 4TH St Ste a
Ainsworth, NE 69210-1216 - Phone
- (402) 382-3555
- Fax
- (402) 382-3556
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
843 E 4TH St
Suite a
Ainsworth, NE 69210-1207
Hospital & facility affiliations
- Brown County Hospital
- Rock County Hospital
- Cherry County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.03 of 100
- Quality
- 63.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111402 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health & Wellness Clinic, LLC | Current |
Accepting new patients | |
| Devine Healthcare, LLC | Current |
Accepting new patients | |
| Sandhills Behavioral Services LLC | Past |
Accepting new patients |
Locations
843 E 4th St
Ste A
Ainsworth, NE 69210
Phone (402) 382-3555
356 S Main St
Ste C
Ainsworth, NE 69210
Phone (402) 382-3555
Interoperability endpoints
- devinehealthcare2017@dhl-ne.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://api.platform.athenahealth.com/15415/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 111402 | NE | Yes |
Addresses
Primary practice location
843 E 4TH St Ste a
Ainsworth, NE 69210-1216
Mailing address
843 E 4TH St
Ste a
Ainsworth, NE 69210-1207
Phone (402) 382-3600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026257700 | Medicaid | NE |
Other providers in Ainsworth, NE
- Melvin Allen Campbell
- Sara Ann Crisp
- Crystal G Dailey
- Dawn Family Practice LLC
- Devine Healthcare, LLC
- Bryan Doke
- Educational Service Unit #17
- Alicia M Ericksen
- Evan C Evans
- Elizabeth Fiala
All providers in Ainsworth, NE · Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2021. 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).
- Opt Out Affidavits (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.