Individual provider Active NPI

Devhan Vanmeter, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, IL
National Provider Identifier
1952135170
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029933 Issued in IL
Practice address
901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021
Phone
(217) 588-6140
Fax
(217) 588-3043
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 209029933 IL Primary

Addresses

Primary practice location

901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021

Mailing address

901 W Morton Ave Ste 22
Jacksonville, IL 62650-4021
Phone (217) 588-6140

Other identifiers 1

IdentifierTypeStateIssuer
041370647OtherILRN LICENSE

Other names 1

  • Devhan Escapa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20250106000627 IL Practitioner - Nurse Practitioner 7517495591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

901 W Morton Ave
Suite 22
Jacksonville, IL 62650-4021
Phone (217) 588-2640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209029933ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Physician Services Current Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients
Memorial Physician Services CurrentSince Dec 16, 2024 Accepting new patients
Memorial Physician Services CurrentSince Dec 16, 2024 Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

901 W Morton Ave
Ste 22
Jacksonville, IL 62650
Phone (217) 588-6140

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1952135170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MORTON AVE STE 22",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626504021",
            "telephone_number": "217-588-6140",
            "fax_number": "217-588-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MORTON AVE STE 22",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626504021",
            "telephone_number": "217-588-6140",
            "fax_number": "217-588-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMETER",
        "first_name": "DEVHAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041370647",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVHAN",
            "last_name": "ESCAPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, IL

Sources for this page

Verify at the official NPI Registry.