Debora Ann Devine, NP
Individual provider Active NPI Women's Health Nurse Practitioner · Buffalo, NY
NPI 1619980034 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619980034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- F420582-1 (NY)
- Practice address
- 239 Bryant St
Women'S Health Center
Buffalo, NY 14222-2006 - Phone
- (716) 878-7886
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaleida Health
Practice addresses (Care Compare)
818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000
900 Hertel Ave
Buffalo, NY 14216-2611
Phone (716) 871-1571
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.06 of 100
- Quality
- 87.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.82
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20070327000504 | NY | Practitioner - Nurse Practitioner | 8224132584 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F420582-1 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current |
Accepting new patients | |
| Kaleida Health | Current |
Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
239 Bryant St
Buffalo, NY 14222
Phone (716) 878-7655
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F420582-1 | NY | Yes |
Addresses
Primary practice location
239 Bryant St
Women'S Health Center
Buffalo, NY 14222-2006
Mailing address
7111 Witmer Rd
North Tonawanda, NY 14120-1015
Phone (716) 743-9355
NPI Registry JSON
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619980034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 WITMER RD",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141201015",
"telephone_number": "716-743-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 BRYANT ST",
"address_2": "WOMEN'S HEALTH CENTER",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "DEBORA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F420582-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
- Danielle Andrea Devers-Girst
- Ravinder Devgun
- Mara A Devia
- Devincentis DPM Devincentis DPM PC
- Carol Devincentis
- Jillian M Devine
- Anthony Joseph Devito
- Crystal Devlin
- Julia Adele Devonish
- Brooke Gloria Devore
All providers in Buffalo, NY · Women's Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.