NPIMap

Individual provider Active NPI

Debra Mims Develin, CRNP

  • Family Nurse Practitioner
  • Raleigh, MS
National Provider Identifier
1710906268
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R633283 Issued in MS
Practice address
234 Magnolia Dr
Raleigh, MS 39153-6016
Phone
(601) 374-8145
Fax
(601) 374-8153
NPI assigned
Jul 18, 2006
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 R633283 MS Primary

Addresses

Primary practice location

234 Magnolia Dr
Raleigh, MS 39153-6016

Mailing address

234 Magnolia Dr
Raleigh, MS 39153-6016
Phone (601) 374-8145

Other identifiers 1

IdentifierTypeStateIssuer
03235798MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000569 MS Practitioner - Nurse Practitioner 1951301753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

234 Magnolia Dr
Raleigh, MS 39153-6016
Phone (601) 374-8145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R633283MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Emergency Services of Mississippi Professional Association PastSince Sep 20, 2020 Accepting new patients
Magee After Hours Clinic PLLC PastSince Sep 11, 2017 Accepting new patients
River Oaks Management Company LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: debradevelin@mscm.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1710906268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MAGNOLIA DR",
            "city": "RALEIGH",
            "state": "MS",
            "postal_code": "391536016",
            "telephone_number": "601-374-8145",
            "fax_number": "601-374-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAGNOLIA DR",
            "city": "RALEIGH",
            "state": "MS",
            "postal_code": "391536016",
            "telephone_number": "601-374-8145",
            "fax_number": "601-374-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVELIN",
        "first_name": "DEBRA",
        "middle_name": "MIMS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R633283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03235798",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, MS

Sources for this page

Verify at the official NPI Registry.