Devon Granny, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP026308 Issued in PA

Practice address

4044 Route 130 Ste 200
Irwin, PA 15642-7808

Phone

(724) 744-2500

Fax

(412) 744-3338

NPI assigned

Oct 3, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1932823960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE STE 700",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462184",
            "telephone_number": "412-457-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 ROUTE 130 STE 200",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156427808",
            "telephone_number": "724-744-2500",
            "fax_number": "412-744-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Golden Mile Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462010",
            "country_code": "US",
            "telephone_number": "724-733-5151",
            "fax_number": "724-327-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANNY",
        "first_name": "DEVON",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "devonburkholder@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1620 Golden Mile Hwy Ste 100",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "devonburkholder@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4044 Route 130 Ste 200",
            "city": "Irwin",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156427808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark C Gottron, D.O.
• Esther Gould
• Hannah Graham
• Jodi Graham
• Genevieve Gralewski
• Elizabeth Gray, PSYD
• Jacqueline Gray
• Jaden Gray
• Julia Gray
• Sharon Gray

• Family Nurse Practitioner in Irwin, PA
• Providers in Irwin, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.