Benjamin James Devries, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13777 Issued in MN

Practice address

11732 W Wegener Rd
Hibbing, MN 55746-8279

Phone

(605) 630-8915

NPI assigned

Jul 2, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bdevries@scenicrivers.org
• Direct secure messaging: benjamin.devries.2@29139.direct.athenahealth.com

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.

• Cook Area Health Services, Inc

  dba Scenic Rivers Health Services

  • Clinic/Center
  • Floodwood, MN
  • NPI 1174596027
  Medicare reassignment NPD
• Range Regional Health Services

  • Clinic/Center
  • Hibbing, MN
  • NPI 1669569265
  Medicare reassignment
• Cook Area Health Services, Inc

  dba Scenic Rivers Health Services

  • Clinic/Center
  • Cook, MN
  • NPI 1437124401
  NPD
• Cook Area Health Services, Inc

  dba Scenic Rivers Health Services

  • Clinic/Center
  • Tower, MN
  • NPI 1750633806
  NPD
• Range Regional Health Services

  • General Acute Care Hospital
  • Hibbing, MN
  • NPI 1356321699
  NPD
• Range Regional Health Services

  dba HealthLine Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • International Falls, MN
  • NPI 1710954821
  NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1982275897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11732 W WEGENER RD",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557468279",
            "telephone_number": "605-630-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11732 W WEGENER RD",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557468279",
            "telephone_number": "605-630-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "13777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdevries@scenicrivers.org",
            "affiliation": "N",
            "address_1": "20 5th St SE",
            "city": "Cook",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557239702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Duane D. Dale, MSW
• Riana Michelle Damjanovich, RN, BAN, IBCLC, RLC
• Kara Marie Daniels
• David Gunelson DDS
• Dental Health Service of Northern Minnesota PA
• Richard Dinter, M.D.
• Dr James J Salonen PA
• Dr. Ernest T. Williams Jr., Optometrist
• Colleen Ann Drow, OTR
• Christine Lynn Dworzynski

• Family Medicine Physician in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.